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BOZEMAN SKIN CLINIC PROFESSIONAL CORPORATION
NPI 1275701351
Clinic/Center - Medical Specialty in Bozeman, MT

Active since February 12, 2008
300 N WILLSON AVE, SUITE 203B, BOZEMAN, MT 59715(406) 587-5442 Get Directions Write a Review

NPPES record last updated: April 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bozeman Skin Clinic Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOZEMAN SKIN CLINIC PROFESSIONAL CORPORATION (NPI 1275701351) is a healthcare organization registered as a medical specialty in Bozeman, Montana and active in the NPI registry since February 2008. The organization lists John R Tkach, President, as its authorized official.

NPPES Registry Identity

NPI1275701351
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameBOZEMAN SKIN CLINIC PROFESSIONAL CORPORATION
Location Address300 N WILLSON AVE, SUITE 203BBozeman, MT 59715-3551
Mailing Address300 N Willson Ave, Suite 203bBozeman, MT 59715-3551 · (406) 587-5442
Phone(406) 587-5442
Organization SubpartNo
Authorized OfficialJohn R TkachPresident · (406) 587-5442
Enumeration DateFebruary 12, 2008
Last NPPES UpdateApril 22, 2013
✔ NPI 1275701351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MT · 3871
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
300 N WILLSON AVE, Bozeman, MT 59715
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA A KASER L.AC.
Acupuncturist
300 N WILLSON AVE, SUITE 805H
BOZEMAN, MT 59715
Gallatin County (406) 556-8649
DR. STEVEN HERBERT HELM DMD, MS
Dentist (Periodontics)
300 N WILLSON AVE, SUITE 2005
BOZEMAN, MT 59715
Gallatin County (406) 586-3040
ADAM C JURICK LCPC
Counselor (Professional)
300 N WILLSON AVE
BOZEMAN, MT 59715
Gallatin County (406) 599-5595
PARK CLINIC OB-GYN
Obstetrics & Gynecology
300 N WILLSON AVE
BOZEMAN, MT 59715
Gallatin County (406) 222-0605
JENNIFER E WILSHIRE PT
Physical Therapist
300 N WILLSON AVE, SUITE 105A
BOZEMAN, MT 59715
Gallatin County (406) 599-9150
GALLATIN PLASTIC SURGERY, PLLC
Plastic Surgery
300 N WILLSON AVE, SUITE 300C
BOZEMAN, MT 59715
Gallatin County (406) 577-2346
MR. STEPHEN FREEMAN H.I.S
Hearing Instrument Specialist
300 N WILLSON AVE, SUITE 3005-5
BOZEMAN, MT 59715
Gallatin County (406) 522-7198
DR. JARRED MCDANIEL M.D.
Surgery (Plastic and Reconstructive Surgery)
300 N WILLSON AVE, SUITE 300C
BOZEMAN, MT 59715
Gallatin County (406) 577-2346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bozeman Skin Clinic Professional Corporation's NPI number?

The NPI number for Bozeman Skin Clinic Professional Corporation is 1275701351. It was assigned to this organization in the NPPES registry on February 12, 2008.

Where is Bozeman Skin Clinic Professional Corporation located?

Bozeman Skin Clinic Professional Corporation is located at 300 N Willson Ave Suite 203B, Bozeman, MT 59715. The listed phone number is (406) 587-5442.

What is Bozeman Skin Clinic Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Bozeman Skin Clinic Professional Corporation was last updated on April 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.