Fred Wayne Pickering, DO
Individual provider Active NPI Independent Medical Examiner Chiropractor · Red Lodge, MT
NPI 1326201054 · NPPES record last updated Jul 2, 2008
Key facts
- NPI
- 1326201054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Medical Examiner Chiropractor 111NI0013X
- License
- 891 (MT)
- Practice address
- 13TH Street
Red Lodge, MT 59068-0685 - Phone
- (406) 425-1843
- NPI assigned
- Jul 2, 2008
- 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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 891 | MT | MD | Independent Medical Examiner Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 891 | MT | Yes |
Addresses
Primary practice location
13TH Street
Red Lodge, MT 59068-0685
Mailing address
PO Box 685
Red Lodge, MT 59068-0685
Phone (406) 425-1843
Other providers in Red Lodge, MT
- Palisades Counseling Services
- Palisades Counseling, LLC
- Sarah Pedone
- Picasso Health & Nutrition
- Therese Picasso-Edwards
- Kathleen Quinn Porco
- Amy Nicole Puett
- Red Lodge Drug Co Inc
- Red Lodge Public Schools
- Red Lodge Public Schools
All providers in Red Lodge, MT · Independent Medical Examiner Chiropractor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2008. 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.