Guest, Gary Mark
Guest, Gary Mark is an sole proprietor health care provider with primary practice located at 2304 N 7Th Ave Suite E, Bozeman MT 59715-2571. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Guest, Gary Mark can be contacted via phone (406) 586-7641.Contact Information
Primary practice address
2304 N 7Th Ave Suite E
Bozeman MT 59715-2571
Phone: (406) 586-7641
Fax: (406) 582-4181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 619 | Montana |
Profile Details
| NPI number | 1386839223 |
|---|---|
| LBN Legal business name | Guest, Gary Mark |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Jun 19th, 2012 - about 14 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 | 1386839223 | NPPES |
| Montana | Other | M000004672 | MEDICARE PTAN |
| Montana | Other | 040980 | MEDICARE PTAN |
| Montana | MEDICAID | 162279 | MEDICARE PTAN |
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