Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FX1700X | Ocularist | ||
Y | 156FX1800X | Optician |
NPI | 1437231792 |
---|---|
Provider Name | William G Towler |
First Address | Billings, MT 59102-7113 |
Second Address | Billings, MT 59102-7113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 28/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
550849 | (05) | MT |