Tallman, Philip Glenn

Tallman, Philip Glenn is an individual health care provider with primary practice located at 2294 Grant Rd , Billings MT 59102-7423. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tallman, Philip Glenn can be contacted via phone (406) 294-9515.

Contact Information

Primary practice address
2294 Grant Rd Billings MT 59102-7423
Fax: (406) 294-9520
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 8066 Montana

Profile Details

NPI number 1760485619
LBN Legal business name Tallman, Philip Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 15th, 2011 - about 13 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 1760485619 NPPES
Montana MEDICAID 0041922
Montana MEDICAID 1118099 00 1180

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