Provider Demographics
NPI:1700835014
Name:SILVERGLAT, MICHAEL JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:SILVERGLAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3114 MARTINWOOD RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-3263
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
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT50052084P0800X, 2084P0805X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT916230OtherBLUE CROSS BLUE SHIELD MONTANA
MT000099785OtherBLUE CROSS BLUE SHIELD MT
MT144443Medicaid
MTP00197017OtherRETIRED RAILROAD MEDICARE
MT1700835014Medicaid
MTP00197017OtherRETIRED RAILROAD MEDICARE
MT144443Medicaid
MT916230OtherBLUE CROSS BLUE SHIELD MONTANA