Organization
HALLER BUSINESS ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL MATTHEW HALLER (OWNER)
(406) 422-4224
Entity
Organization
Contact information
Practice address
436 PAXON ST, HELENA, MT 59602-7738
(406) 422-4224
(406) 422-4422
Mailing address
436 PAXON ST, HELENA, MT 59602-7738
(406) 422-4224
(406) 422-4422
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C279507
MT
332BC3200X
Customized Equipment (DME)
C279507
MT
332BX2000X
Oxygen Equipment & Supplies (DME)
C279507
MT
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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