Pistorese, Brent D

Pistorese, Brent D is an individual health care provider with primary practice located at 350 Heritage Way Suite 2100, Kalispell MT 59901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Pistorese, Brent D can be contacted via phone (406) 257-8992.

Contact Information

Primary practice address
350 Heritage Way Suite 2100 Kalispell MT 59901
Fax: (406) 257-8996
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 9636 Montana

Profile Details

NPI number 1669405866
LBN Legal business name Pistorese, Brent D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Nov 27th, 2023 - about 2 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 1669405866 NPPES
Montana MEDICAID 0072165

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