Stevens, Michael Gerard

Stevens, Michael Gerard is an sole proprietor health care provider with primary practice located at 2675 Central Ave Suite U-23, Billings MT 59102-6686. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Stevens, Michael Gerard can be contacted via phone (406) 656-8300.

Contact Information

Primary practice address
2675 Central Ave Suite U-23 Billings MT 59102-6686
Fax: (406) 656-9088
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 1715 Montana

Profile Details

NPI number 1528120771
LBN Legal business name Stevens, Michael Gerard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
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 1528120771 NPPES
Montana MEDICAID 0113356

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