Hadley, Douglas A.

Hadley, Douglas A. is an individual health care provider with primary practice located at 1648 Ellis St Ste 201 , Bozeman MT 59715-8811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Hadley, Douglas A. can be contacted via phone (406) 587-8631.

Contact Information

Primary practice address
1648 Ellis St Ste 201 Bozeman MT 59715-8811
Phone: (406) 587-8631
Fax: (406) 587-1343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A78906 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MED-PHYS-LIC-43501 Montana

Profile Details

NPI number 1902984776
LBN Legal business name Hadley, Douglas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 22nd, 2020 - about 4 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 1902984776 NPPES
California MEDICAID 00A789060

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