Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 10275 | MT |
NPI | 1407852312 |
---|---|
Provider Name | Michael Henry Schabacker |
First Address | Billings, MT 59101-7506 |
Second Address | Billings, MT 59101-7506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 08/07/2007 |