Daniel Malinowski Jr.
Individual provider Active NPI Contractor · Marion, MT
NPI 1669968020 · NPPES record last updated Jul 9, 2018
Key facts
- NPI
- 1669968020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 1147 Homesteaders Way
Marion, MT 59925-9888 - Phone
- (406) 253-9678
- NPI assigned
- Jul 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Montana Works LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
1147 Homesteaders Way
Marion, MT 59925-9888
Mailing address
1147 Homesteaders Way
Marion, MT 59925-9888
Phone (406) 253-9678
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1056749702 | Medicaid | MT |
Other providers in Marion, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.