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

Specialty	Code	License #	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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1962586370	NPPES
Montana	MEDICAID	0760123

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