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INTERMOUNTAIN NEUROLOGY PC NPI 1457486276


NPI Information

NPI: 1457486276
Provider Name: INTERMOUNTAIN NEUROLOGY PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
650 FERGUSON AVE
SUITE 1
BOZEMAN, MT
ZIP 59718
Phone: (406) 922-2770
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INTERMOUNTAIN NEUROLOGY PC is a neurology psychiatry neurology in Bozeman, MT. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. INTERMOUNTAIN NEUROLOGY PC NPI is 1457486276. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

650 FERGUSON AVE
SUITE 1
BOZEMAN, MT
ZIP 59718-518
Phone: (406) 922-2770
Fax: (406) 922-2771

The provider's authorized official is Sherry A Reid .
The authorized official title is Owner and has the following contact phone number (406) 922-2770.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 11/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology10470MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000084273MEDICARE ID-TYPE UNSPECIFIEDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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