1275770976 NPI number — VALERIE CHYLE APRN, PLLC

Table of content: (NPI 1275770976)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275770976 NPI number — VALERIE CHYLE APRN, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALERIE CHYLE APRN, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PREVIOUS NAME VALERIE C BENZSCHAWEL PLLC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275770976
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 17047
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MISSOULA
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59808-7047
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-543-1625
Provider Business Mailing Address Fax Number:
406-543-1825

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2825 STOCKYARD RD
Provider Second Line Business Practice Location Address:
UNIT H-3
Provider Business Practice Location Address City Name:
MISSOULA
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59808-1503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-543-1625
Provider Business Practice Location Address Fax Number:
406-543-1825
Provider Enumeration Date:
01/16/2009

Additional Information

Authorized Official

Authorized Official Last Name:
CHYLE
Authorized Official First Name:
VALERIE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
406-543-1625

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  APN18526 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 18526 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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