Healthcare Provider Details

I. General information

NPI: 1003970286
Provider Name (Legal Business Name): SUSAN LEIGH KALARCHIK AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 MONROE AVE
BUTTE MT
59701-3820
US

IV. Provider business mailing address

3310 #4 MONROE AVE
BUTTE MT
59701-0800
US

V. Phone/Fax

Practice location:
  • Phone: 406-494-3995
  • Fax: 406-494-3373
Mailing address:
  • Phone: 406-494-3995
  • Fax: 406-494-3373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number825
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number825
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: