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Contact Information

KRIS HASBROUCK
408 S TRACY AVE APT 2
BOZEMAN, MT59715-5293
 Phone: 970-390-9101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for KRIS HASBROUCK · (Male)

NPI Number 1174400972
Status Active
Credentials
Entity Individual
Enumeration date 08/21/2025
Last updated 08/21/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 212959
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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