Schallock, Eric M
Schallock, Eric M is an individual health care provider with primary practice located at 107 Ridgewater Dr , Polson MT 59860-8977. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Schallock, Eric M can be contacted via phone (406) 676-4441.Contact Information
Primary practice address
107 Ridgewater Dr
Polson MT 59860-8977
Phone: (406) 676-4441
Fax: (406) 676-0835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10809 | Montana |
Profile Details
| NPI number | 1477874600 |
|---|---|
| LBN Legal business name | Schallock, Eric M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2010 |
| Last updated | Oct 14th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477874600 | NPPES |
| Montana | Other | 903393 | BCBS |
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