Provider Demographics
NPI:1700060308
Name:KARL J HAPCIC, MD, LLC
Entity Type:Organization
Organization Name:KARL J HAPCIC, MD, LLC
Other - Org Name:BOZEMAN SURGICAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAPCIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-582-1881
Mailing Address - Street 1:2619 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-3934
Mailing Address - Country:US
Mailing Address - Phone:406-582-1881
Mailing Address - Fax:
Practice Address - Street 1:2619 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-3934
Practice Address - Country:US
Practice Address - Phone:406-582-1881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center