Victor NG
Individual provider Active NPI Medical Technologist · Box Elder, MT
NPI 1053678367 · NPPES record last updated Apr 12, 2012
Key facts
- NPI
- 1053678367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Technologist 246QM0706X
- License
- 1561 (MT)
- Practice address
- 535 Clinic Rd E
Box Elder, MT 59521-8826 - Phone
- (406) 395-4486
- Fax
- (406) 395-5315
- NPI assigned
- Apr 12, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1561 | MT | MD | Dentist |
| RTS-LPH-LIC-3126 | MT | MD | Radiologic Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 1561 | MT | Yes |
| Radiologic Technologist | 247100000X | RTS-LPH-LIC-3126 | MT |
Addresses
Primary practice location
535 Clinic Rd E
Box Elder, MT 59521-8826
Mailing address
535 Clinic Rd E
Box Elder, MT 59521-8826
Phone (406) 395-4486
Other providers in Box Elder, MT
- Jacqueline Michelle Myers
- Karen Myers
- Lenore Myers
- Nat'S Medical Supply
- Darel Arvin Nelson
- Janet Nordrum
- Janice Lea Nystrom
- Jamie Marie Oats-Swan
- Crissa Oliva
- Amber Marie Ophus
All providers in Box Elder, MT · Medical Technologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.