Idzerda, Sheila M
Idzerda, Sheila M is an sole proprietor health care provider with primary practice located at 1819 S 22Nd Ave Ste 100, Bozeman MT 59718-7070. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Idzerda, Sheila M can be contacted via phone (406) 522-5437.Contact Information
Primary practice address
1819 S 22Nd Ave Ste 100
Bozeman MT 59718-7070
Phone: (406) 522-5437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9597 | Montana |
Profile Details
| NPI number | 1851406284 |
|---|---|
| LBN Legal business name | Idzerda, Sheila M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Feb 22nd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851406284 | NPPES |
| Montana | MEDICAID | 27336 |
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