Provider Demographics
NPI:1952402570
Name:FARNHAM, SHAWNEE LYNN (DO)
Entity type:Individual
Prefix:DR
First Name:SHAWNEE
Middle Name:LYNN
Last Name:FARNHAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SHAWNEE
Other - Middle Name:LYNN
Other - Last Name:SENICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:P.O. BOX 6369
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604
Mailing Address - Country:US
Mailing Address - Phone:406-447-2828
Mailing Address - Fax:406-447-2825
Practice Address - Street 1:820 N. MONTANA AVENUE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601
Practice Address - Country:US
Practice Address - Phone:406-447-2841
Practice Address - Fax:406-443-7067
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT104422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0141814Medicaid
MT95715OtherBCBS OF MT
MT95715OtherBCBS OF MT