Stillie, Gordon D.
Stillie, Gordon D. is an sole proprietor health care provider with primary practice located at 343 Sunnyview Ln , Kalispell MT 59901-3156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Stillie, Gordon D. can be contacted via phone (406) 752-1790.Contact Information
Primary practice address
343 Sunnyview Ln
Kalispell MT 59901-3156
Phone: (406) 752-1790
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 10467 | Montana |
Profile Details
| NPI number | 1316993082 |
|---|---|
| LBN Legal business name | Stillie, Gordon D. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316993082 | NPPES |
| Montana | Other | 99676 | BLUE CROSS |
| Montana | MEDICAID | 141559 | BLUE CROSS |
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