Healthcare Provider Details

I. General information

NPI: 1265603989
Provider Name (Legal Business Name): NORTHERN ROCKIES NEUROMONITORING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2008
Last Update Date: 03/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2877 OVERLAND AVE SUITE C
BILLINGS MT
59102-7465
US

IV. Provider business mailing address

2877 OVERLAND AVE SUITE C
BILLINGS MT
59102-7465
US

V. Phone/Fax

Practice location:
  • Phone: 406-651-8197
  • Fax: 406-651-8196
Mailing address:
  • Phone: 406-651-8197
  • Fax: 406-651-8196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number5973A
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4460A
License Number StateWY

VIII. Authorized Official

Name: DR. JOHN H SCHNEIDER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 406-651-8197