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Contact Information

ROMAN M HENDRICKSON SR, MD
210 E CROFOOT ST
SHERIDAN, MT59749
 Phone: 406-842-5056
 Fax: 406-842-5057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROMAN M HENDRICKSON SR · (Male)

NPI # 1205823135
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2005
Last updated 08/25/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 9867
  • MT Medicaid 00554470
  • Other 94575 BCBS
Hospital affiliation(s)
  • BARRETT MEMORIAL HOSPITAL - (Critical Access)
    600 MT HWY 91 S
    DILLON, MT 59725
  • RUBY VALLEY HOSPITAL - (Critical Access)
    220 E CROFOOT
    SHERIDAN, MT 59749
  • ST JAMES HEALTHCARE - (Acute Care)
    400 S CLARK ST
    BUTTE, MT 59701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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