Individual
JEFFERY T. CHELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
418 WEST MONROE, CHESTER, MT 59522
(406) 759-5194
(406) 759-5105
Mailing address
P.O. BOX 705, 418 W. MONROE, CHESTER, MT 59522
(406) 759-5194
(406) 759-5105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
219
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434350
—
MT
05
—
0720273
—
MT
Enumeration date
10/12/2006
Last updated
05/17/2016
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