Landsverk, Brian Kenneth

Landsverk, Brian Kenneth is an individual health care provider with primary practice located at 915 Highland Blvd , Bozeman MT 59715-6902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Landsverk, Brian Kenneth can be contacted via phone (406) 586-3309.

Contact Information

Primary practice address
915 Highland Blvd Bozeman MT 59715-6902
Fax: (406) 522-8498
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 8647 Montana

Profile Details

NPI number 1821182627
LBN Legal business name Landsverk, Brian Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 3rd, 2009 - about 17 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 1821182627 NPPES
Montana Other 000097121 BLUE CROSS BLUE SHIELD
Montana MEDICAID 0039695 BLUE CROSS BLUE SHIELD

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