Provider Demographics
NPI:1265734214
Name:BONE, HANS ERLING (PA-C)
Entity type:Individual
Prefix:
First Name:HANS
Middle Name:ERLING
Last Name:BONE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 12TH AVE N STE 335W
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7590
Mailing Address - Country:US
Mailing Address - Phone:406-237-8808
Mailing Address - Fax:406-237-8810
Practice Address - Street 1:2900 12TH AVE N STE 335W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7590
Practice Address - Country:US
Practice Address - Phone:406-237-8808
Practice Address - Fax:406-237-8810
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT24307363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00926228OtherRAILROAD MEDICARE PTAN
NC2762608Medicare PIN