Kreisberg, Mark S
Kreisberg, Mark S is an individual health care provider with primary practice located at 2475 E Broadway St , Helena MT 59601-4928. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kreisberg, Mark S can be contacted via phone (406) 442-2480.Contact Information
Primary practice address
2475 E Broadway St
Helena MT 59601-4928
Phone: (406) 442-2480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 9555 | Montana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9555 | Montana |
Profile Details
| NPI number | 1467453324 |
|---|---|
| LBN Legal business name | Kreisberg, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 13th, 2015 - about 9 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 | 1467453324 | NPPES |
| Montana | Other | 9555 | LICENSE |
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