Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | CHI-CHI-LIC-4542 | MT |
NPI | 1932623790 |
---|---|
Provider Name | Dr. Brittne L Casterline |
First Address | Glasgow, MT 59230-1526 |
Second Address | Glasgow, MT 59230-1526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2017 |
Last Update Date | 18/09/2017 |