Provider Demographics
NPI:1386790798
Name:EAR NOSE AND THROAT ASSOCIATES
Entity type:Organization
Organization Name:EAR NOSE AND THROAT ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CODER
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-238-6161
Mailing Address - Street 1:2900 12TH AVE N
Mailing Address - Street 2:SUITE 330W
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7506
Mailing Address - Country:US
Mailing Address - Phone:406-238-6161
Mailing Address - Fax:406-238-6171
Practice Address - Street 1:2900 12TH AVE N
Practice Address - Street 2:SUITE 330W
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7506
Practice Address - Country:US
Practice Address - Phone:406-238-6161
Practice Address - Fax:406-238-6171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty