Mccollom, Brian D.

Mccollom, Brian D. is an sole proprietor health care provider with primary practice located at 913 4Th St Nw , Choteau MT 59422-9123. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mccollom, Brian D. can be contacted via phone (406) 466-2802.

Contact Information

Primary practice address
913 4Th St Nw Choteau MT 59422-9123
Phone: (406) 466-2802
Fax: (406) 466-2732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 746 Montana

Profile Details

NPI number 1699823005
LBN Legal business name Mccollom, Brian D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Apr 28th, 2008 - about 18 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 1699823005 NPPES
Montana MEDICAID 0482817

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