Healthcare Provider Details

I. General information

NPI: 1336346568
Provider Name (Legal Business Name): CHAD S ABBEY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 06/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 ZIMMERMAN TRAIL
BILLINGS MT
59102-1611
US

IV. Provider business mailing address

1611 ZIMMERMAN TRAIL
BILLINGS MT
59102-1611
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-3607
  • Fax: 406-248-8919
Mailing address:
  • Phone: 406-248-3607
  • Fax: 406-248-8919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMED-PHYS-LIC-41014
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number41014
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: