Kelleher, Brian M

Kelleher, Brian M is an sole proprietor health care provider with primary practice located at 1200 Westwood Dr , Hamilton MT 59840-2345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kelleher, Brian M can be contacted via phone (406) 363-2211.

Contact Information

Primary practice address
1200 Westwood Dr Hamilton MT 59840-2345
Phone: (406) 363-2211
Fax: (406) 375-4590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10063 Montana

Profile Details

NPI number 1790722775
LBN Legal business name Kelleher, Brian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Nov 5th, 2015 - about 10 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 1790722775 NPPES
Montana MEDICAID 0352066
Montana MEDICAID 1790722775
Montana MEDICAID 1790722775
Montana MEDICAID 1790722775

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