Bozeman Skin Clinic Professional Corporation in Bozeman - Medical Specialty
Bozeman Skin Clinic Professional Corporation - NPI 1275701351
Bozeman Skin Clinic Professional Corporation is a Medical Specialty in Bozeman, Montana. Bozeman Skin Clinic Professional Corporation practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Bozeman Skin Clinic Professional Corporation is 1275701351. The last update date is 2013-04-22.
Bozeman Skin Clinic Professional Corporation's current location address is 300 N Willson Ave, Bozeman, Montana. You can contact this provider via phone number 4065875442. The mailing address for Bozeman Skin Clinic Professional Corporation is 300 N Willson Ave, Bozeman, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bozeman Skin Clinic Professional Corporation |
|---|---|
| Address | 300 N Willson Ave, Bozeman, Montana |
| Phone Number | 4065875442 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tkach R John |
| Credentials | MD |
| Telephone Number | 4065875442 |
NPI Number Detail
| NPI Number | 1275701351 |
|---|---|
| Provider Enumeration Date | 2008-02-12 |
| Last Updated Date | 2013-04-22 |
Provider Mailing Address Detail
| Address | 300 N Willson Ave |
|---|---|
| City | Bozeman |
| State | Montana (MT) |
| Post Code | 597153551 |
| Phone Number | 4065875442 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 3871 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique identifier code issued to Bozeman Skin Clinic Professional Corporation by the Centers for Medicare & Medicaid Services?
The Bozeman Skin Clinic Professional Corporation has been assigned the NPI (National Provider Identifier) 1275701351. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bozeman Skin Clinic Professional Corporation is geographically located?
The Bozeman Skin Clinic Professional Corporation is physically situated at the following location: 300 N Willson Ave, Bozeman, MT, 597153551.
What is the Bozeman Skin Clinic Professional Corporation's area of specialization and corresponding taxonomy classification?
The Bozeman Skin Clinic Professional Corporation's specialty field is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their specialties.
On what date was the 1275701351 assigned to Bozeman Skin Clinic Professional Corporation?
The Bozeman Skin Clinic Professional Corporation was issued its 1275701351 on 2008-02-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bozeman Skin Clinic Professional Corporation, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bozeman Skin Clinic Professional Corporation, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-04-22.