Wise, John Michael
Wise, John Michael is an individual health care provider with primary practice located at 1006 W Main St , Bozeman MT 59715-3219. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wise, John Michael can be contacted via phone (406) 586-8711.Contact Information
Primary practice address
1006 W Main St
Bozeman MT 59715-3219
Phone: (406) 586-8711
Fax: (406) 587-2602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4048 | Montana |
Profile Details
| NPI number | 1043205586 |
|---|---|
| LBN Legal business name | Wise, John Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jun 17th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043205586 | NPPES |
| Montana | Other | 930037579 | RAILROAD MEDICARE |
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