Provider Demographics
NPI:1063141778
Name:JOB, ELLEN KASSAY (MS, GC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:KASSAY
Last Name:JOB
Suffix:
Gender:F
Credentials:MS, GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 SHODAIR DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5743
Mailing Address - Country:US
Mailing Address - Phone:406-444-1147
Mailing Address - Fax:406-444-1064
Practice Address - Street 1:2620 SHODAIR DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5743
Practice Address - Country:US
Practice Address - Phone:406-444-1147
Practice Address - Fax:406-444-1064
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS