Stacy N. Fisk

Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Butte, MT

NPI 1831361476 · NPPES record last updated Mar 24, 2008

Key facts

NPI
1831361476
Entity type
Individual (NPI type 1)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Practice address
675 Slalom LN
Butte, MT 59701-7764
Phone
(406) 782-4720
NPI assigned
Mar 24, 2008
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

675 Slalom LN
Butte, MT 59701-7764

Mailing address

675 Slalom LN
Butte, MT 59701-7764
Phone (406) 782-4720

Other providers in Butte, MT

All providers in Butte, MT · Durable Medical Equipment & Medical Supplies in Montana

Sources for this page

Verify at the official NPI Registry.