1760407175 NPI number — JAMES P HOYNE MD

Table of content: JAMES P HOYNE MD (NPI 1760407175)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760407175 NPI number — JAMES P HOYNE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOYNE
Provider First Name:
JAMES
Provider Middle Name:
P
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760407175
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1006 W MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOZEMAN
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59715-3219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-586-8711
Provider Business Mailing Address Fax Number:
406-587-2602

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
530 THIRD STREET NORTHWEST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLOWTON
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-632-4343
Provider Business Practice Location Address Fax Number:
406-632-3170
Provider Enumeration Date:
07/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 173000000X , with the licence number:  4421 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)