Mcdaniel, Bryan S
Mcdaniel, Bryan S is an individual health care provider with primary practice located at 1450 Ellis St Suite 201, Bozeman MT 59715-8812. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mcdaniel, Bryan S can be contacted via phone (406) 587-0122.Contact Information
Primary practice address
1450 Ellis St Suite 201
Bozeman MT 59715-8812
Phone: (406) 587-0122
Fax: (406) 587-5548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 264 | Montana |
Profile Details
| NPI number | 1225011646 |
|---|---|
| LBN Legal business name | Mcdaniel, Bryan S |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1225011646 | NPPES |
| Montana | MEDICAID | 437920 |
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