Provider Demographics
NPI:1437379054
Name:CALF LOOKING, PATRICK EDWARD (MA)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:EDWARD
Last Name:CALF LOOKING
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 MARIE STREET
Mailing Address - Street 2:
Mailing Address - City:EAST GLACIER
Mailing Address - State:MT
Mailing Address - Zip Code:59434-0450
Mailing Address - Country:US
Mailing Address - Phone:406-226-5591
Mailing Address - Fax:
Practice Address - Street 1:OLD HOSPITAL ROAD #1
Practice Address - Street 2:
Practice Address - City:BROWNING
Practice Address - State:MT
Practice Address - Zip Code:59417-0450
Practice Address - Country:US
Practice Address - Phone:406-338-6330
Practice Address - Fax:406-338-7660
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT733101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0320684Medicaid