Neibauer, G Gregg

Neibauer, G Gregg is an individual health care provider with primary practice located at 1845 Bancroft St , Missoula MT 59801-5747. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Neibauer, G Gregg can be contacted via phone (406) 721-4007.

Contact Information

Primary practice address
1845 Bancroft St Missoula MT 59801-5747
Fax: (406) 549-9807
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 160 Montana

Profile Details

NPI number 1154500544
LBN Legal business name Neibauer, G Gregg
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2007
Last updated Apr 7th, 2014 - about 10 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 1154500544 NPPES
Montana Other P00097318 RAILROAD MEDICARE
Montana Other 97315 RAILROAD MEDICARE
Montana Other 000084041 RAILROAD MEDICARE
Montana MEDICAID 0390779 RAILROAD MEDICARE

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