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TOMMIE L PERUSICH PC NPI 1073142717


NPI Information

NPI: 1073142717
Provider Name: TOMMIE L PERUSICH, PC

Doing Business As: TOMMIE L. PERUSICH, PMHNP-BC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
84 OHIO ST
STE 5
BUTTE, MT
ZIP 59701
Phone: (406) 646-2470
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TOMMIE L PERUSICH, PC is a psychiatric/mental health nurse practitioner in Butte, MT. TOMMIE L PERUSICH, PC NPI is 1073142717. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tommie L. Perusich, Pmhnp-bc.

The provider's business location address is:

84 OHIO ST
STE 5
BUTTE, MT
ZIP 59701-806
Phone: (406) 646-2470
Fax: (406) 299-3911

The provider's authorized official is Darren A Hoffman .
The authorized official title is General Manager / Billing and has the following contact phone number (406) 646-2470.

The enumeration date for this NPI number is 4/4/2020 and was last updated on 8/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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