Individual
DR. JENNIFER H. DULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
430 LAKE ELMO DR, BILLINGS, MT 59105-3066
(406) 252-9927
Mailing address
430 LAKE ELMO DR, BILLINGS, MT 59105-3066
(406) 252-9927
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
747
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084260
MEDICARE GROUP
MT
01
—
011001901
MEDICARE PTAN
—
05
—
0483412
—
MT
01
—
28371
BCBS
MT
01
—
P00738886
RAILROAD MEDICARE
MT
Enumeration date
01/31/2007
Last updated
09/16/2009
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