Gannon, Daniel M

Gannon, Daniel M is an individual health care provider with primary practice located at 1450 Ellis St Suite 201, Bozeman MT 59715-8812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Gannon, Daniel M can be contacted via phone (406) 587-0122.

Contact Information

Primary practice address
1450 Ellis St Suite 201 Bozeman MT 59715-8812
Phone: (406) 587-0122
Fax: (406) 587-5548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 6358 Montana

Profile Details

NPI number 1285616169
LBN Legal business name Gannon, Daniel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
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 1285616169 NPPES
Montana MEDICAID 22139

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