Grace, Andrew W

Grace, Andrew W is an sole proprietor health care provider with primary practice located at 905 Highland Blvd Ste 4450, Bozeman MT 59715-6901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Grace, Andrew W can be contacted via phone (406) 585-5037.

Contact Information

Primary practice address
905 Highland Blvd Ste 4450 Bozeman MT 59715-6901
Phone: (406) 585-5037
Fax: (406) 556-5295
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 10338 Montana
Allopathic & Osteopathic Physicians / Surgery 208600000X 10338 Montana

Profile Details

NPI number 1437154291
LBN Legal business name Grace, Andrew W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Jan 29th, 2018 - about 6 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 1437154291 NPPES
Montana Other 45-2860317 TAX ID
Montana MEDICAID 0062917 TAX ID

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