Provider Demographics
NPI:1699099341
Name:JEANNE HEBL CNM PLLC
Entity type:Organization
Organization Name:JEANNE HEBL CNM PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HEBL
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:406-541-7115
Mailing Address - Street 1:2404 39TH ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1123
Mailing Address - Country:US
Mailing Address - Phone:406-541-7115
Mailing Address - Fax:406-541-7116
Practice Address - Street 1:2404 39TH ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1123
Practice Address - Country:US
Practice Address - Phone:406-541-7115
Practice Address - Fax:406-541-7116
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEANNE HEBL CNM PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAPN15451261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing