TED B. LAINE M.D. NPI 1043294572

NPI Information

  • NPI: 1043294572
  • Provider Name: TED B. LAINE, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 2825 FORT MISSOULA RD
    STE 201
    MISSOULA, MT
    ZIP 59804
  • Phone: (406) 721-5566

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NPI Details

Ted B. Laine, M.D. is a specialist in Missoula, MT. The provider is 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. Ted B. Laine, M.D. NPI is 1043294572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2825 FORT MISSOULA RD
STE 201
MISSOULA, MT
ZIP 59804-420
Phone: (406) 721-5566
Fax: (406) 728-1868

The enumeration date for this NPI number is 11/29/2005 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist4247MONTANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100001279MEDICARE ID-TYPE UNSPECIFIEDMONTANA
212790OTHERMONTANABLUE CROSS/BLUE SHIELD
3D-96207MEDICARE UPINMONTANA
41383801MEDICAIDWASHINGTON
5005-6472MEDICAIDMONTANA

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: 11/21/2025

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