Healthcare Provider Details

I. General information

NPI: 1982784021
Provider Name (Legal Business Name): LAST CHANCE AUDIOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 11/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 EUCLID AVE SUITE 4
HELENA MT
59601-2100
US

IV. Provider business mailing address

1325 EUCLID AVE SUITE 4
HELENA MT
59601
US

V. Phone/Fax

Practice location:
  • Phone: 406-443-3330
  • Fax: 406-443-5215
Mailing address:
  • Phone: 406-443-3330
  • Fax: 406-443-5215

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: MS. PATRICIA M INGALLS
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 406-443-3330