Healthcare Provider Details

I. General information

NPI: 1255323218
Provider Name (Legal Business Name): KARLENE H BERISH DC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 RIMROCK RD
BILLINGS MT
59102-0700
US

IV. Provider business mailing address

1690 RIMROCK RD
BILLINGS MT
59102-0700
US

V. Phone/Fax

Practice location:
  • Phone: 406-259-4908
  • Fax: 406-252-0040
Mailing address:
  • Phone: 406-259-4908
  • Fax: 406-252-0040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number465
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: