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IDEAL OPTION PLLC NPI 1841647831


NPI Information

NPI: 1841647831
Provider Name: IDEAL OPTION, PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 35D2144617

Address:
1532 ELLIS ST
SUITE 104
BOZEMAN, MT
ZIP 59715
Phone: (509) 222-1275
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IDEAL OPTION, PLLC is a clinic center in Bozeman, MT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). IDEAL OPTION, PLLC NPI is 1841647831. The provider is registered as an organization entity type.

The provider's business location address is:

1532 ELLIS ST
SUITE 104
BOZEMAN, MT
ZIP 59715-808
Phone: (509) 222-1275
Fax: (509) 491-3031

The provider's authorized official is Brian Jefferson Dawson .
The authorized official title is Cmo and has the following contact phone number (509) 222-1275.

The CLIA number assigned to this NPI record is 35D2144617 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/19/2016 and was last updated on 8/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center44418MONTANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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