National Provider Identifier Database

RANDY ROSENQUIST, CPO – NPI #1174814404
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

RANDY ROSENQUIST, CPO
2145 SOUTH AVE W
MISSOULA, MT59801-6503
Phone: 406-327-9200
Fax: 406-327-0653
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotics/Prosthetics Fitter 225000000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for RANDY ROSENQUIST

NPI Number 1174814404
Credentials CPO
Entity Individual
Enumeration date 04/20/2011
Last updated 01/10/2012 - About 14 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

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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