Healthcare Provider Details

I. General information

NPI: 1730998287
Provider Name (Legal Business Name): JEREMIAH MARK ZILKOSKI I
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1732 S 72ND ST W
BILLINGS MT
59106-3538
US

IV. Provider business mailing address

1995 OUTLOOK DR
BILLINGS MT
59105-4302
US

V. Phone/Fax

Practice location:
  • Phone: 406-655-2100
  • Fax:
Mailing address:
  • Phone: 406-208-3402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: