Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 5208 | MT |
NPI | 1053397422 |
---|---|
Provider Name | Mr. James D Hinde |
First Address | Great Falls, MT 59405-4304 |
Second Address | Great Falls, MT 59405-4304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 27/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0027664 | (05) | MT |
250002668 | RR MEDICARE (01) | MT |
D07980 | (02) |