Oltz, Tafford E

Oltz, Tafford E is an individual health care provider with primary practice located at 310 Sunnyview Ln , Kalispell MT 59901-3129. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Oltz, Tafford E can be contacted via phone (406) 751-7695.

Contact Information

Primary practice address
310 Sunnyview Ln Kalispell MT 59901-3129
Phone: (406) 751-7695
Fax: (406) 755-0971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN6700 Montana

Profile Details

NPI number 1104879113
LBN Legal business name Oltz, Tafford E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 8th, 2007 - 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 1104879113 NPPES
Montana MEDICAID 4308038

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