Provider Demographics
NPI:1730413980
Name:MICHAEL J. SILVERGLAT, M.D., PLLC
Entity type:Organization
Organization Name:MICHAEL J. SILVERGLAT, M.D., PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SILVERGLAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-541-8060
Mailing Address - Street 1:910 BROOKS ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-5783
Mailing Address - Country:US
Mailing Address - Phone:406-541-8060
Mailing Address - Fax:406-541-8062
Practice Address - Street 1:910 BROOKS ST
Practice Address - Street 2:SUITE 202
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-5783
Practice Address - Country:US
Practice Address - Phone:406-541-8060
Practice Address - Fax:406-541-8062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT50052084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT260014211OtherRR MEDICARE
MT1700835014Medicaid
MT000084536Medicare PIN
MT1700835014Medicaid