Nolan, David Ezra

Nolan, David Ezra is an individual health care provider with primary practice located at 312 Fair Grounds Road , Hamilton MT 59840. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Nolan, David Ezra can be contacted via phone (406) 361-7680.

Contact Information

Primary practice address
312 Fair Grounds Road Hamilton MT 59840
Phone: (406) 361-7680
Fax: (406) 363-4060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0292 Montana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0292 Montana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0292 Montana

Profile Details

NPI number 1669464392
LBN Legal business name Nolan, David Ezra
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jun 25th, 2013 - about 13 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 1669464392 NPPES
Montana MEDICAID 4310345

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