Nolan, David Ezra
Nolan, David Ezra is an individual health care provider with primary practice located at 312 Fair Grounds Road , Hamilton MT 59840. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Nolan, David Ezra can be contacted via phone (406) 361-7680.Contact Information
Primary practice address
312 Fair Grounds Road
Hamilton MT 59840
Phone: (406) 361-7680
Fax: (406) 363-4060
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0292 | Montana |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0292 | Montana |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0292 | Montana |
Profile Details
NPI number | 1669464392 |
---|---|
LBN Legal business name | Nolan, David Ezra |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2005 |
Last updated | Jun 25th, 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 | 1669464392 | NPPES |
Montana | MEDICAID | 4310345 |
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