Johnson, Dale Gilman

Johnson, Dale Gilman is an sole proprietor health care provider with primary practice located at 828 S California St , Helena MT 59601-5669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, Dale Gilman can be contacted via phone (406) 443-1579.

Contact Information

Primary practice address
828 S California St Helena MT 59601-5669
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 3721 Montana

Profile Details

NPI number 1427260595
LBN Legal business name Johnson, Dale Gilman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427260595 NPPES
Montana MEDICAID 03-7310

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