Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 302CHI | MT |
NPI | 1538240148 |
---|---|
Provider Name | Dr. Robert Allen Hecht |
First Address | Helena, MT 59601-5248 |
Second Address | Helena, MT 59601-0704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 18/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000004100 | (02) | MT |
161408 | (05) | MT |
162006 | (05) | MT |