Ercanbrack, Lance L

Ercanbrack, Lance L is an individual health care provider with primary practice located at 308 Louisiana Ave Ste 1, Libby MT 59923-2158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ercanbrack, Lance L can be contacted via phone (406) 283-6800.

Contact Information

Primary practice address
308 Louisiana Ave Ste 1 Libby MT 59923-2158
Fax: (406) 283-6815
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 8804 Montana

Profile Details

NPI number 1609983352
LBN Legal business name Ercanbrack, Lance L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Sep 10th, 2020 - about 5 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 1609983352 NPPES
Montana MEDICAID 0022899
Montana Other 01553

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