Provider Demographics
NPI:1437231792
Name:TOWLER, WILLIAM G
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:G
Last Name:TOWLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2646 GRAND AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-7113
Mailing Address - Country:US
Mailing Address - Phone:406-256-5952
Mailing Address - Fax:406-256-3837
Practice Address - Street 1:2646 GRAND AVE STE 7
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7113
Practice Address - Country:US
Practice Address - Phone:406-256-5952
Practice Address - Fax:406-256-3837
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT550849Medicaid
MT550849Medicaid