Laine, Ted B.

Laine, Ted B. is an sole proprietor health care provider with primary practice located at 2825 Fort Missoula Rd Ste 201, Missoula MT 59804-7420. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Laine, Ted B. can be contacted via phone (406) 721-5566.

Contact Information

Primary practice address
2825 Fort Missoula Rd Ste 201 Missoula MT 59804-7420
Phone: (406) 721-5566
Fax: (406) 728-1868
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4247 Montana

Profile Details

NPI number 1043294572
LBN Legal business name Laine, Ted B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043294572 NPPES
Montana MEDICAID 005-6472
Montana MEDICAID 1383801
Montana Other 12790

Popular Providers