National Provider Identifier Database

GLACIER ONCOLOGY PLLC
Oncology

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.


Contact Information

GLACIER ONCOLOGY, PLLC
75 CLAREMONT ST
SUITE E
KALISPELL, MT59901-3585
Phone: 406-752-7600
Fax: 406-752-7614
Website:
Specialty Taxonomy Code
* Oncology 261QX0200X

* Indicates primary specialty

NPI Profile & details for GLACIER ONCOLOGY, PLLC

NPI Number 1275789901
Legal business name
LBN
GLACIER ONCOLOGY, PLLC
Authorized official MICHAEL GOODMAN - (SOLE PROPRIETOR)
Entity Organization
Organization subpart No
Enumeration date 08/13/2008
Last updated 08/13/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MT License #: 8025
  • MT Medicaid: 0105825
  • MT Other: 011071 BLUE CROSS BLUE SHIELD
  • MT Other: 830004450 RAILROAD MEDICARE

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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