Kelleher, Peter M

Kelleher, Peter M is an individual health care provider with primary practice located at 536 Cottonwood Rd Suite 100, Bozeman MT 59718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kelleher, Peter M can be contacted via phone (406) 586-8029.

Contact Information

Primary practice address
536 Cottonwood Rd Suite 100 Bozeman MT 59718
Phone: (406) 586-8029
Fax: (406) 586-8009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 11795 Montana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD431276 Pennsylvania

Profile Details

NPI number 1518185982
LBN Legal business name Kelleher, Peter M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Oct 28th, 2011 - about 15 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 1518185982 NPPES
Montana Other 0000093258 BCBS OF MONTANA

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