Hendrickson, Roman Michael
Hendrickson, Roman Michael is an individual health care provider with primary practice located at 210 E Crofoot St , Sheridan MT 59749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Hendrickson, Roman Michael can be contacted via phone (406) 842-5056.Contact Information
Primary practice address
210 E Crofoot St
Sheridan MT 59749
Phone: (406) 842-5056
Fax: (406) 842-5057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 9867 | Montana |
Profile Details
| NPI number | 1205823135 |
|---|---|
| LBN Legal business name | Hendrickson, Roman Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Aug 25th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205823135 | NPPES |
| Montana | MEDICAID | 00554470 | |
| Montana | Other | 94575 |
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