Heriza, Thomas James

Heriza, Thomas James is an sole proprietor health care provider with primary practice located at 1871 S 22Nd Ave Ste 3 , Bozeman MT 59718-7054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Heriza, Thomas James can be contacted via phone (406) 585-3584.

Contact Information

Primary practice address
1871 S 22Nd Ave Ste 3 Bozeman MT 59718-7054
Phone: (406) 585-3584
Fax: (406) 534-0411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 12436 Montana

Profile Details

NPI number 1083775035
LBN Legal business name Heriza, Thomas James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Apr 4th, 2018 - about 8 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 1083775035 NPPES
Oregon MEDICAID 150582

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