Wanderer, Alan A
Wanderer, Alan A is an individual health care provider with primary practice located at 2055 N 22Nd Ave Ste 1, Bozeman MT 59718-2783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Wanderer, Alan A can be contacted via phone (406) 582-1111.Contact Information
Primary practice address
2055 N 22Nd Ave Ste 1
Bozeman MT 59718-2783
Phone: (406) 582-1111
Fax: (406) 582-1112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 8795 | Montana |
Profile Details
| NPI number | 1386633220 |
|---|---|
| LBN Legal business name | Wanderer, Alan A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1386633220 | NPPES |
| Montana | MEDICAID | 0143752 |
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