Ideal Option, Pllc | |
1532 Ellis St Ste 104 Bozeman MT 59715-8809 | |
(509) 222-1275 | |
(509) 491-3031 |
Full Name | Ideal Option, Pllc |
---|---|
Speciality | Clinic/center |
Location | 1532 Ellis St Ste 104, Bozeman, Montana |
Authorized Official Name and Position | Jeffrey Todd Allgaier (CEO) |
Authorized Official Contact | 5092221275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ideal Option, Pllc 8656 W Gage Blvd Ste 301b Kennewick WA 99336-7145 Ph: (509) 222-1275 | Ideal Option, Pllc 1532 Ellis St Ste 104 Bozeman MT 59715-8809 Ph: (509) 222-1275 |
NPI Number | 1104339597 |
---|---|
Provider Enumeration Date | 11/08/2017 |
Last Update Date | 11/08/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104339597 | NPI | - | NPPES |
1457788275 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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