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Individual

ALISON B CHARMAN

Active
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Individual

ALISON B CHARMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN23933
MT
363LA2200X
Adult Health Nurse Practitioner
NUR-APRN-LIC-100305
MT
363LA2200X
Adult Health Nurse Practitioner
Primary
RN023933
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000008287
MEDICARE PART B GRP ID#
MT
01
000371341
BLUE CROSS/SHIELD PIN#
MT
01
1104882232
GLACIER MEDICAL ASSOC NPI
MT
01
27D0411341
CLIA ID#--LAB CERT
MT
01
810350909
FEIN
MT
01
CI2709
RAILROAD MEDICARE GRP ID#
MT
01
RN23933
MONTANA SATE LICENSE
MT
Enumeration date
11/10/2006
Last updated
07/15/2024
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