FRED WAYNE PICKERING


Address: 13th Street, Red Lodge, MT 59068-0685
Phone: 4064251843

FRED WAYNE PICKERING (NPI# 1326201054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326201054
Entity Type Individual
Full Name FRED WAYNE PICKERING
Credential DO
Practice Address 13th Street
Red Lodge
MT 59068-0685
Mailing Address Po Box 685
Red Lodge
MT 59068-0685
Practice Telephone 4064251843
Mailing Telephone 4064251843
Enumeration Date 2008-07-02
Last Update Date 2008-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NI0013X Chiropractor
Specialization: Independent Medical Examiner
891 MT Chiropractic Providers

Office Location

Street Address 13TH STREET
City RED LODGE
State MT
Zip Code 59068-0685

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1346372182 Lynn Kathleen Zavala Physical Therapist 600 W 21st St, Red Lodge, MT 59068 2007-03-09
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Taxonomy Information

Taxonomy Code 111NI0013X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Independent Medical Examiner

Taxonomy Definition

A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932623790 Brittne L Casterline Chiropractor 914 Jet Dr, Glasgow, MT 59230-1526 2017-08-02

Competitor

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City RED LODGE
Zip Code 59068

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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