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Contact Information

MONTANA SPORT AND SPINE LLC
925 HIGHLAND BLVD, SUITE 1130
BOZEMAN SPORT AND SPINE LLC
BOZEMAN, MT59715-6900
 Phone: 406-522-9067
 Fax: 406-522-9074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MONTANA SPORT AND SPINE LLC · (Female)

NPI # 1013004241
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2006
Last updated 07/23/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • MT License # 10381
  • MT Other 000099205 BLUE CROSS BLUE SHIELD
  • MT Other DC7699 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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