Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 38578 | MT |
NPI | 1154642817 |
---|---|
Provider Name | Erin Kathleen Ham |
First Address | Helena, MT 59604-6369 |
Second Address | Helena, MT 59601-4905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2010 |
Last Update Date | 21/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
207K00000X | (05) | MT |
38578 | LICENSE (01) | MT |