Healthcare Provider Details

I. General information

NPI: 1538253760
Provider Name (Legal Business Name): CURTIS B WHICKER MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S HAYNES AVE UNIT 2
MILES CITY MT
59301-4779
US

IV. Provider business mailing address

205 S HAYNES AVE UNIT 2
MILES CITY MT
59301-4779
US

V. Phone/Fax

Practice location:
  • Phone: 406-233-4327
  • Fax: 406-233-3985
Mailing address:
  • Phone: 406-233-4327
  • Fax: 406-233-3985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number957
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number957
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: