Langenderfer, Mary C
Langenderfer, Mary C is an individual health care provider with primary practice located at 500 West Broadway , Missoula MT 59802-4008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Langenderfer, Mary C can be contacted via phone (406) 329-7598.Contact Information
Primary practice address
500 West Broadway
Missoula MT 59802-4008
Phone: (406) 329-7598
Fax: (406) 721-3907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4783 | Montana |
Profile Details
| NPI number | 1871548537 |
|---|---|
| LBN Legal business name | Langenderfer, Mary C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Oct 23rd, 2013 - about 11 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 | 1871548537 | NPPES |
| Montana | MEDICAID | 0066053 |
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