Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | 3780 | MT |
NPI | 1285777896 |
---|---|
Provider Name | Dr. George F. Sheckleton |
First Address | Billings, MT 59102-0602 |
Second Address | Billings, MT 59102-0602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 08/07/2007 |