Regan Wagner, Courtney

Regan Wagner, Courtney is an sole proprietor health care provider with primary practice located at 931 Highland Blvd Ste 3130 , Bozeman MT 59715-6914. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Regan Wagner, Courtney can be contacted via phone (406) 414-5070.

Contact Information

Primary practice address
931 Highland Blvd Ste 3130 Bozeman MT 59715-6914
Phone: (406) 414-5070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 89785 Montana

Profile Details

NPI number 1205092400
LBN Legal business name Regan Wagner, Courtney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2008
Last updated Jul 27th, 2021 - about 4 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 1205092400 NPPES
Montana MEDICAID 1205092400

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