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NPI Code Detail

MEDICARE: PROS INC

MEDICARE: PROS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician0600022915MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
129741OTHERMTBCBS OF MT IDENTIFICATION
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114089448
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROS INC
Provider Business Mailing Address
First Line : 1331 24TH ST W
Second Line :
City : BILLINGS
State : MT
Zip : 59102-3860
Country : US
Telephone Number : 406-656-9857
Fax Number : 406-656-4063
Provider Business Practice Location Address
First Line : 1331 24TH ST W
Second Line :
City : BILLINGS
State : MT
Zip : 59102-3860
Country : US
Telephone Number : 406-656-9857
Fax Number : 406-656-4063
Authorized Official
Title or Position : OWNER
Name : MRS. DESTINY DAWN ZIELIE
Credential :
Telephone Number : 406-656-9857
Provider Enumeration Date : 12/14/2006
Last Update Date : 08/05/2014

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Directions to “PROS INC ” Practice Location

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