Wallace, Richard M.
Wallace, Richard M. is an individual health care provider with primary practice located at 925 Highland Blvd., Suite 1180, Bozeman MT 59715. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wallace, Richard M. can be contacted via phone (406) 587-8631.Contact Information
Primary practice address
925 Highland Blvd., Suite 1180
Bozeman MT 59715
Phone: (406) 587-8631
Fax: (406) 587-1343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 6907 | Montana |
Profile Details
| NPI number | 1881656940 |
|---|---|
| LBN Legal business name | Wallace, Richard M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 months 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 | 1881656940 | NPPES |
| Montana | MEDICAID | 0144690 | |
| Montana | MEDICAID | 0089427 |
Popular Providers
-
Leonard, Larry Givens
15 Marie Court , Bozeman MT 59718-6618 -
Slabaugh, Amy
2050 Fairway Dr Ste 111 , Bozeman MT 59715-5819 -
Toni, Louay Joseph
937 Highland Blvd Ste 5320 , Bozeman MT 59715-6916 -
Campbell, Jessie May
24 S Willson Ave Ste 3 , Bozeman MT 59715-4609 -
Felker, Richard
5655 Hudson Dr Ste 210 Aris Radiology, Hudson OH 44236-4455 -
Wise, John Michael
1006 W Main St , Bozeman MT 59715-3219 -
Leavitt, Cindy Ann
3060 Upper Rainbow Rd , Bozeman MT 59718-7648 -
Keyes, Kenneth S.
3090 Bridger Hills Dr , Bozeman MT 59715-7653