Ford, Jack O

Ford, Jack O is an individual health care provider with primary practice located at 700 W Gold St , Butte MT 59701-2320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Ford, Jack O can be contacted via phone (406) 782-6391.

Contact Information

Primary practice address
700 W Gold St Butte MT 59701-2320
Phone: (406) 782-6391
Fax: (406) 782-6585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 10733 Montana

Profile Details

NPI number 1417059924
LBN Legal business name Ford, Jack O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417059924 NPPES
Montana MEDICAID 0095438
Montana Other 99955

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