Blavatsky, Nick
Blavatsky, Nick is an individual health care provider with primary practice located at 435 S Crystal St Suite 400, Butte MT 59701-1515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Blavatsky, Nick can be contacted via phone (406) 496-3400.Contact Information
Primary practice address
435 S Crystal St Suite 400
Butte MT 59701-1515
Phone: (406) 496-3400
Fax: (406) 496-3401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 8799 | Montana |
Profile Details
| NPI number | 1902986227 |
|---|---|
| LBN Legal business name | Blavatsky, Nick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1902986227 | NPPES |
| Montana | MEDICAID | 0022882 |
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