Deibert, Mark C

Deibert, Mark C is an individual health care provider with primary practice located at 536 Cottonwood Rd Suite 100, Bozeman MT 59718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Deibert, Mark C can be contacted via phone (406) 586-8029.

Contact Information

Primary practice address
536 Cottonwood Rd Suite 100 Bozeman MT 59718
Phone: (406) 586-8029
Fax: (406) 586-8009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 8221 Montana

Profile Details

NPI number 1437159944
LBN Legal business name Deibert, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Oct 27th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437159944 NPPES
Montana Other 01458-1 BCBSMT
Montana Other 1194070001 BCBSMT
Montana MEDICAID 0000104686 BCBSMT

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