Charlette A Small
Individual provider Active NPI Family Medicine Physician · Absarokee, MT
NPI 1104522796 · NPPES record last updated Feb 6, 2023
Key facts
- NPI
- 1104522796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 212613 (MT)
- Practice address
- 45 Cottonwood Way
Absarokee, MT 59001-6211 - Phone
- (406) 328-7448
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 212613 | MT | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 212613 | MT | Yes |
Addresses
Primary practice location
45 Cottonwood Way
Absarokee, MT 59001-6211
Mailing address
45 Cottonwood Way
Absarokee, MT 59001-6211
Phone (406) 699-0042
Other providers in Absarokee, MT
- North Stillwater Ventures LLC
- Jayna Race
- Rocky Mountain Physical Therapy LLC
- SCL Health Medical Group - Billings LLC
- Shipp Inc
- Sheri Spuhler
- St. Vincent Healthcare
- Henry Banner Stokke
- Time for You Therapy
- Cheryl A Young-Pelton
All providers in Absarokee, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2023. 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.