Healthcare Provider Details

I. General information

NPI: 1467495622
Provider Name (Legal Business Name): SHERI SPUHLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 N MONTANA
ABSAROKEE MT
59001
US

IV. Provider business mailing address

55 N MONTANA
ABSAROKEE MT
59001-0425
US

V. Phone/Fax

Practice location:
  • Phone: 406-328-4497
  • Fax: 406-328-4574
Mailing address:
  • Phone: 406-328-4497
  • Fax: 406-328-4574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number140
License Number StateMT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: