Gedlaman, Derek Allan
Gedlaman, Derek Allan is an individual health care provider with primary practice located at 734 9Th St W Suite 12, Columbia Falls MT 59912-3859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gedlaman, Derek Allan can be contacted via phone (406) 892-1011.Contact Information
Primary practice address
734 9Th St W Suite 12
Columbia Falls MT 59912-3859
Phone: (406) 892-1011
Fax: (406) 892-2108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10336 | Montana |
Profile Details
| NPI number | 1902895329 |
|---|---|
| LBN Legal business name | Gedlaman, Derek Allan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1902895329 | NPPES |
| Montana | MEDICAID | 00069734 |
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