| Doctor Name: | CHARLES BRATSKY |
| NPI Number: | 1992125884 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.N |
| License Number: | RN21041 |
| Business Practice Address: | 100 Cheyenne Ave Lame Deer, MT - 590430070 |
| Business Phone Number: | 4064774400 |
| Business Fax Number: | |
| Mailing Address: | Po Box 70, 100 Cheyenne Ave. LAME DEER |
| State: | MT |
| Postal Code: | 590430070 |
| Phone Number: | 4064774400 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2014 |
| NPI Last Update Date: | 04/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | RN21041 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |