Individual
BONNIE LYNN LONGKNIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 642, BOX ELDER, MT 59521-9730
(406) 395-4374
(406) 395-4781
Mailing address
RR 1 BOX 642, BOX ELDER, MT 59521-9730
(406) 395-4374
(406) 395-4781
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
2258
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2258
EMT
MT
Enumeration date
11/06/2013
Last updated
11/06/2013
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