Ted B. Laine is a Specialist in Missoula, Montana. Ted B. Laine practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ted B. Laine is 1043294572. The last update date is 2007-07-08.
Ted B. Laine's current location address is 2825 Fort Missoula Rd, Missoula, Montana. You can contact this provider via phone number 4067215566 and fax number 4067281868. The mailing address for Ted B. Laine is 2825 Fort Missoula Rd, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted B. Laine |
|---|---|
| Address | 2825 Fort Missoula Rd, Missoula, Montana |
| Phone Number | 4067215566 |
| Fax Number | 4067281868 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043294572 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2825 Fort Missoula Rd |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598047420 |
| Phone Number | 4067215566 |
| Fax Number | 4067281868 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4247 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 005-6472 | MT | -- | |
| 1383801 | WA | -- | |
| 12790 | MT | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the Ted B. Laine's unique identification number?
The Ted B. Laine has been assigned the NPI (National Provider Identifier) Number 1043294572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Ted B. Laine?
The Ted B. Laine is physically situated at 2825 Fort Missoula Rd, in the city of Missoula, state of MT, with the postal code 598047420.
What is the Ted B. Laine's area of specialization and corresponding taxonomy classification?
The Ted B. Laine's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043294572 to Ted B. Laine?
The Centers for Medicare & Medicaid Services originally issued the 1043294572 to Ted B. Laine on 2005-11-29.
As of what date was the information pertaining to Ted B. Laine, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ted B. Laine, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.