Glacier Dermatology Pc

LBN: Glacier Dermatology Pc
Glacier Dermatology Pc is an health care organization with primary practice located at 40 Four Mile Dr Ste 7 , Kalispell MT 59901-2655. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Glacier Dermatology Pc can be contacted via phone (406) 314-6336, or through Owen, Sylvia A via phone (406) 314-6336.

Contact Information

Primary practice address
40 Four Mile Dr Ste 7 Kalispell MT 59901-2655
Phone: (406) 314-6336
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Owen, Sylvia A Doctor of Medicine (MD)
Phone: (406) 314-6336

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 10806 Montana
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1407366545
LBN Legal business name Glacier Dermatology Pc
DBA Doing business as
Authorized official Owen, Sylvia A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2017
Last updated Dec 12th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407366545 NPPES
Montana MEDICAID 0143741

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