Van Eerden, Ivan T
Van Eerden, Ivan T is an sole proprietor health care provider with primary practice located at 225 Hickory St , Missoula MT 59801-1856. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Van Eerden, Ivan T can be contacted via phone (406) 541-6400.Contact Information
Primary practice address
225 Hickory St
Missoula MT 59801-1856
Phone: (406) 541-6400
Fax: (406) 728-8467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 946 | Montana |
Profile Details
| NPI number | 1801958061 |
|---|---|
| LBN Legal business name | Van Eerden, Ivan T |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801958061 | NPPES |
| Montana | MEDICAID | 0165512 | |
| Montana | Other | 40053 | |
| Montana | MEDICAID | 0165503 | |
| Montana | Other | ACN617836 |
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