Erik L Schroeder
Family Doctor - Sports Medicine
111 Sunnyview Ln
Kalispell
, Montana 59901-3164
Erik L Schroeder
Family Doctor - Sports Medicine
111 Sunnyview Ln
Kalispell
, Montana 59901-3164
(406) 257-0253
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Erik L Schroeder
- 111 Sunnyview Ln
- Kalispell, MT
- Zip : 59901-3164
- Fax : (406) 257-0253
- Phone : (406) 752-7900
Second Address
- Erik L Schroeder
- 111 Sunnyview Ln
- Kalispell, MT
- Zip : 59901-3164
- Fax : (406) 257-0253
- Phone : (406) 752-7900
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Is Erik L Schroeder a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 11100 | MT |
National Provider Identifier
| NPI | 1215969936 |
|---|---|
| Provider Name | Erik L Schroeder |
| First Address | Kalispell, MT 59901-3164 |
| Second Address | Kalispell, MT 59901-3164 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 11/11/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11100 | STATE LICENSE (01) | MT |
| 1194070001 | CIGNA DME (01) | MT |
| 1215969936 | (05) | MT |
| 1215969936 | BLUECROSS BLUESHIELD (01) | MT |
| H96775 | (02) | MT |
| P00451091 | MEDICARE RAILROAD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.