Healthcare Provider Details

I. General information

NPI: 1972427755
Provider Name (Legal Business Name): MICHAEL HALM RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 HIGHLAND BLVD
BOZEMAN MT
59715-6999
US

IV. Provider business mailing address

311 MICHAEL GROVE AVE
BOZEMAN MT
59718-3681
US

V. Phone/Fax

Practice location:
  • Phone: 406-414-1220
  • Fax:
Mailing address:
  • Phone: 406-543-0250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberNURRNLIC38427
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: