NPI Search for Physicians and Health Care Providers
DR. ROMAN MICHAEL HENDRICKSON MD
Geriatric Medicine >> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1205823135
Individual Registrant:
DR. ROMAN MICHAEL HENDRICKSON MD
Gender: M
Not Sole Proprietor
Location and contact information for practice:
210 E CROFOOT ST SHERIDAN, MT 59749 US
Tel: 406-842-5056 Fax: 406-842-5057
Contact information for business:
18 7M4R RD SHERIDAN, MT 59749-9500 US
Tel: 406-842-7581 Fax: --
Registration Information:
NPI: 1205823135
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 207QG0300X | Allopathic & Osteopathic Physicians Family Medicine Geriatric Medicine | MT | 9867 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 00554470 | MT | 05 |
BCBS | 94575 | | 01 |
HEALTH CARE JOBS MT - Page 1