Headley, Robert Andrew

Headley, Robert Andrew is an individual health care provider with primary practice located at 2901 Brooks St , Missoula MT 59801-7703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Headley, Robert Andrew can be contacted via phone (406) 721-0918.

Contact Information

Primary practice address
2901 Brooks St Missoula MT 59801-7703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11641 Montana

Profile Details

NPI number 1790726198
LBN Legal business name Headley, Robert Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jun 25th, 2021 - 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 1790726198 NPPES
Montana Other 011001941 MEDICARE ID- TYPE UNSPECIFIED

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