National Provider Identifier Database

THREE RIVERS ONCOLOGY
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

THREE RIVERS ONCOLOGY
1724 FAIRVIEW AVE
SUITE A
MISSOULA, MT59801-7872
Phone: 406-327-0120
Fax: 406-327-0117
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for THREE RIVERS ONCOLOGY

NPI Number 1275559676
Legal business name
LBN
THREE RIVERS ONCOLOGY
Authorized official ROY HALL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/15/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MT License #: 10706
  • MT Medicaid: 0150841
  • MT Other: 5675300001 DMER NUMBER

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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