Avery, Jack H

Avery, Jack H is an individual health care provider with primary practice located at 3510 Ptarmigan Ln , Helena MT 59602-0553. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Avery, Jack H can be contacted via phone (406) 449-3750.

Contact Information

Primary practice address
3510 Ptarmigan Ln Helena MT 59602-0553
Phone: (406) 449-3750
Fax: (406) 449-3752
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 1019 Montana

Profile Details

NPI number 1962586370
LBN Legal business name Avery, Jack H
Credentials RT (R) (MRI)(QM)(CT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Nov 16th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962586370 NPPES
Montana MEDICAID 0760123

Popular Providers

  • Grieco, Mark E
    Uscg Hq, Comdt (Cg-1122) 2100 2Nd Street, Rm 5314, Washington DC 20593-0001
  • Chung, Jeffrey
    1555 Barrington Rd Radiology Department, Hoffman Estates IL 60194-1019
  • Crespo, Oscar
    Ave Fernandez Juncos Calle Europa Edif Betancourt 1501 Suite 101, San Juan PR 00910
  • Anderssen, J. Ronald
    14824 Clayton Rd Suite 21, Chesterfield MO 63017-7888
  • Patel, Maya
    1600 Holloway Ave Student Health Services San Francisco State University, San Francisco CA 94132-4200
  • Pluskis, Scott R
    3817 Nw 62Nd St , Coconut Creek FL 33073-2146
  • Kaplan, Joseph
    286 Holdridge Ave , Staten Island NY 10312-5432
  • Cruz, Diana
    1875 Boggy Creek Rd , Kissimmee FL 34744-9516