Advanced Neurology Specialists Pllc | |
400 15th Ave S Ste 206 Great Falls MT 59405-4375 | |
(406) 727-3720 | |
Not Available |
Full Name | Advanced Neurology Specialists Pllc |
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Speciality | Psychiatry & Neurology |
Location | 400 15th Ave S Ste 206, Great Falls, Montana |
Authorized Official Name and Position | William E Henning (PRESIDENT) |
Authorized Official Contact | 4067273720 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Neurology Specialists Pllc 400 15th Ave S Ste 206 Great Falls MT 59405-4375 Ph: (406) 727-3720 | Advanced Neurology Specialists Pllc 400 15th Ave S Ste 206 Great Falls MT 59405-4375 Ph: (406) 727-3720 |
NPI Number | 1811062870 |
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Provider Enumeration Date | 11/22/2006 |
Last Update Date | 08/16/2011 |
Medicare PECOS PAC ID | 0345298394 |
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Medicare Enrollment ID | O20050106000766 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811062870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | William E Henning |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1053495432 PECOS PAC ID: 1557275468 Enrollment ID: I20031114000624 |
Provider Name | Dennis W Dietrich |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1871677245 PECOS PAC ID: 5799699575 Enrollment ID: I20031117000177 |
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