Healthcare Provider Details

I. General information

NPI: 1609950633
Provider Name (Legal Business Name): PATRICIA M. INGALLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 02/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1369 HARRISON AVE SUITE C
BUTTE MT
59701-4875
US

IV. Provider business mailing address

1369 HARRISON AVE SUITE C
BUTTE MT
59701-4875
US

V. Phone/Fax

Practice location:
  • Phone: 406-723-6600
  • Fax: 406-723-6660
Mailing address:
  • Phone: 406-723-6600
  • Fax: 406-723-6660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICIA M INGALLS
Title or Position: MEMBER
Credential: AUD.
Phone: 406-723-6600