Provider Demographics
NPI:1184648164
Name:MAKMAN, RICHARD SINGER I (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:SINGER
Last Name:MAKMAN
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8960
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59904-1960
Mailing Address - Country:US
Mailing Address - Phone:406-755-5516
Mailing Address - Fax:
Practice Address - Street 1:196 FAIRWAY BLVD
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2770
Practice Address - Country:US
Practice Address - Phone:406-755-5516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC274082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry