Griffin, Mandi Tine

Griffin, Mandi Tine is an sole proprietor health care provider with primary practice located at 1200 Westwood Dr , Hamilton MT 59840-2345. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Griffin, Mandi Tine can be contacted via phone (406) 363-5101.

Contact Information

Primary practice address
1200 Westwood Dr Hamilton MT 59840-2345
Fax: (406) 363-7652
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12237 Montana

Profile Details

NPI number 1649476680
LBN Legal business name Griffin, Mandi Tine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2007
Last updated May 12th, 2021 - about 3 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 1649476680 NPPES
Montana MEDICAID 1649476680
Montana MEDICAID 1649476680

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