Bortnem, Keith D

Bortnem, Keith D is an individual health care provider with primary practice located at 1401 25Th St S Ste 1 , Great Falls MT 59405-5183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bortnem, Keith D can be contacted via phone (406) 455-3650.

Contact Information

Primary practice address
1401 25Th St S Ste 1 Great Falls MT 59405-5183
Phone: (406) 455-3650
Fax: (406) 731-8318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 7067 Montana

Profile Details

NPI number 1255372959
LBN Legal business name Bortnem, Keith D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 5th, 2024 - about 2 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 1255372959 NPPES
Other 000003721 BLUE CROSS BLUE SHIELD
Other 0206209 BLUE CROSS BLUE SHIELD
MEDICAID 0094796 BLUE CROSS BLUE SHIELD
Other 200012385 BLUE CROSS BLUE SHIELD
Other 810347861003 BLUE CROSS BLUE SHIELD
Other 810347861 BLUE CROSS BLUE SHIELD

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