Provider Demographics
NPI:1083473839
Name:MORSE, BOBBIE LYNN
Entity Type:Individual
Prefix:
First Name:BOBBIE
Middle Name:LYNN
Last Name:MORSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 2ND ST W
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-5619
Mailing Address - Country:US
Mailing Address - Phone:406-945-0249
Mailing Address - Fax:
Practice Address - Street 1:1465 US HIGHWAY 2 NW STE B
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-3423
Practice Address - Country:US
Practice Address - Phone:406-945-0249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT319870246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other