Stannebein, Craig Eugene

Stannebein, Craig Eugene is an sole proprietor health care provider with primary practice located at 2132 Broadwater Ave Ste C , Billings MT 59102-4778. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stannebein, Craig Eugene can be contacted via phone (406) 652-8782.

Contact Information

Primary practice address
2132 Broadwater Ave Ste C Billings MT 59102-4778
Fax: (406) 652-8724
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1895 Montana

Profile Details

NPI number 1205965662
LBN Legal business name Stannebein, Craig Eugene
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1205965662 NPPES
Montana MEDICAID 12-1160
Montana Other 55-11145

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