Janel Lea Allison-Shamblin, PA-C
Individual provider Active NPI Physician Assistant · Bozeman, MT
NPI 1437626751 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1437626751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 69720 (MT)
- Practice address
- 1232 N 15TH Ave Ste 1
Bozeman, MT 59715-3299 - Phone
- (406) 585-3700
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69720 | MT | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 69720 | MT | Yes |
Addresses
Primary practice location
1232 N 15TH Ave Ste 1
Bozeman, MT 59715-3299
Mailing address
1232 N 15TH Ave Ste 1
Bozeman, MT 59715-3299
Phone (406) 585-3700
Other providers in Bozeman, MT
- Cadence Allen
- Elizabeth Allen
- Mary Elizabeth Allen
- William J. Allen Jr.
- Allergy and Asthma Consultants of Montana, PLLC
- Michelle Allmendinger
- Ally Psychiatric Wellness
- Meira Aliza Alon
- Alpenglow Family Dentistry PLLC
- Alpine Counseling LLC
All providers in Bozeman, MT · Physician Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.