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NPI Code Detail

MEDICARE: ELIZABETH M SICKLER PA

MEDICARE: ELIZABETH M SICKLER PA
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
1363AM0700XMedical Physician AssistantPAC0356ND
2363AM0700XMedical Physician Assistant41199MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1475L5SIOTHERMNBCBS OF MN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
327539OTHERNDBCBS OF ND

General Provider Information

NPI Number : 1831287259
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH M SICKLER PA
Provider Business Mailing Address
First Line : 2223 MISSION WAY
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0160
Country : US
Telephone Number : 406-237-8989
Fax Number : 406-237-8990
Provider Business Practice Location Address
First Line : 2223 MISSION WAY
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0160
Country : US
Telephone Number : 406-237-8989
Fax Number : 406-237-8990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 07/27/2015

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Directions to “ ELIZABETH M SICKLER PA” Practice Location

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