Organization
DR. RHONDA EICKHOLT MHAPRN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA MAE EICKHOLT MHAPRN (OWNER)
(406) 777-6958
Entity
Organization
Contact information
Practice address
3972 US HIGHWAY 93 N, SUITE C, STEVENSVILLE, MT 59870-6494
(406) 777-6958
(406) 777-5869
Mailing address
3972 US HIGHWAY 93 N, SUITE C, STEVENSVILLE, MT 59870-6494
(406) 777-6958
(406) 777-5869
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MT37331
MT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
MT37331
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043599939
—
MT
Enumeration date
08/03/2014
Last updated
08/03/2014
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