Healthcare Provider Details

I. General information

NPI: 1841235405
Provider Name (Legal Business Name): BART A HOVEY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 13TH ST
HAVRE MT
59501-5222
US

IV. Provider business mailing address

PO BOX 1540
HAVRE MT
59501-1540
US

V. Phone/Fax

Practice location:
  • Phone: 406-265-2211
  • Fax:
Mailing address:
  • Phone: 406-265-5827
  • Fax: 406-265-5949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number11003
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: