Repola, David A

Repola, David A is an individual health care provider with primary practice located at 400 S Clark , Butte MT 59702-4108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Repola, David A can be contacted via phone (406) 782-7442.

Contact Information

Primary practice address
400 S Clark Butte MT 59702-4108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4260 Montana

Profile Details

NPI number 1952418477
LBN Legal business name Repola, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Nov 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952418477 NPPES
Montana Other 012210 BCBS
Montana MEDICAID 072111 BCBS

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