Hertenstein, Mark
Hertenstein, Mark is an sole proprietor health care provider with primary practice located at 222 15Th St S Suite C, Great Falls MT 59405-2459. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hertenstein, Mark can be contacted via phone (406) 771-1222.Contact Information
Primary practice address
222 15Th St S Suite C
Great Falls MT 59405-2459
Phone: (406) 771-1222
Fax: (406) 771-1225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 537 | Montana |
Profile Details
| NPI number | 1114030814 |
|---|---|
| LBN Legal business name | Hertenstein, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1114030814 | NPPES |
| Montana | MEDICAID | 0164398 | |
| Montana | MEDICAID | 0164407 |
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