Provider Demographics
NPI:1316932940
Name:REIFF, TERRY DON (DO)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:DON
Last Name:REIFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MT
Mailing Address - Zip Code:59759-0339
Mailing Address - Country:US
Mailing Address - Phone:406-287-3003
Mailing Address - Fax:406-287-3014
Practice Address - Street 1:108 W FIRST ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:MT
Practice Address - Zip Code:59759-0339
Practice Address - Country:US
Practice Address - Phone:406-287-3003
Practice Address - Fax:406-287-3014
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5194207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
184739200OtherFED WORK COMP GROUP ID
MT19810OtherBCBS MT PROV ID
0074622OtherWA STATE WORK COMP
MT0360776Medicaid
AR1071353OtherDEA
D20556Medicare UPIN
0220790001Medicare NSC
080178235Medicare PIN
M000001981Medicare PIN
MT011000149Medicare PIN
MT19810OtherBCBS MT PROV ID