Provider Demographics
NPI:1083082986
Name:ASAY, MICHAEL (PA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:ASAY
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 N BROADWAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0110
Mailing Address - Country:US
Mailing Address - Phone:406-238-6380
Mailing Address - Fax:
Practice Address - Street 1:1144 N BROADWAY
Practice Address - Street 2:SUITE C
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0110
Practice Address - Country:US
Practice Address - Phone:406-238-6380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT42913363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant