Doctor Name: | DENNIS DEAN BIGHORN |
NPI Number: | 1053794131 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LAC |
License Number: | LAC 989 |
Business Practice Address: | 124 Custer St Public Service Bldg. Wolf Point, MT - 592011640 |
Business Phone Number: | 4066531872 |
Business Fax Number: | 4066531775 |
Mailing Address: | Po Box 1530, MILES CITY |
State: | MT |
Postal Code: | 593011530 |
Phone Number: | 4062340234 |
Fax Number: | 4062340235 |
NPI Enumeration Date: | 07/07/2015 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LAC 989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |