Woltanski, Mark S
Woltanski, Mark S is an individual health care provider with primary practice located at 2901 Brooks St , Missoula MT 59801-7722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Woltanski, Mark S can be contacted via phone (406) 721-0918.Contact Information
Primary practice address
2901 Brooks St
Missoula MT 59801-7722
Phone: (406) 721-0918
Fax: (406) 721-1654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4975 | Montana |
Profile Details
| NPI number | 1912934720 |
|---|---|
| LBN Legal business name | Woltanski, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 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 | 1912934720 | NPPES |
| Montana | MEDICAID | 0045500 |
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