Mateskon, John V

Mateskon, John V is an individual health care provider with primary practice located at 2149 Durston Rd Unit 32, Bozeman MT 59718-2805. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Mateskon, John V can be contacted via phone (406) 586-6569.

Contact Information

Primary practice address
2149 Durston Rd Unit 32 Bozeman MT 59718-2805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X 10 Montana

Profile Details

NPI number 1134323066
LBN Legal business name Mateskon, John V
Credentials L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Mar 21st, 2011 - about 13 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 1134323066 NPPES
Montana MEDICAID 0150076

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