Healthcare Provider Details
I. General information
NPI: 1568688158
Provider Name (Legal Business Name): BECKIE MAY HOFFMANN AAS-HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/18/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 DEWEY BLVD
BUTTE MT
59701-0800
US
IV. Provider business mailing address
700 DEWEY BLVD
BUTTE MT
59701-0800
US
V. Phone/Fax
- Phone: 406-494-3995
- Fax: 496-494-3373
- Phone: 406-494-3995
- Fax: 496-494-3373
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | 206 |
| License Number State | MT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: