Bandow, George
Bandow, George is an individual health care provider with primary practice located at 2809 Great Northern Loop Suite 200, Missoula MT 59808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bandow, George can be contacted via phone (406) 541-7139.Contact Information
Primary practice address
2809 Great Northern Loop Suite 200
Missoula MT 59808
Phone: (406) 541-7139
Fax: (406) 541-7143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 9853 | Montana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M-8273 | Idaho |
Profile Details
| NPI number | 1003865171 |
|---|---|
| LBN Legal business name | Bandow, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | May 31st, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003865171 | NPPES |
| Montana | Other | A002 | TRICARE |
| Montana | Other | P00062024 | TRICARE |
| Montana | MEDICAID | 67388 | TRICARE |
| Montana | Other | 96485 | TRICARE |
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