Provider Demographics
NPI:1518058205
Name:HUNT, WILLIAM JR (PA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:HUNT
Suffix:JR
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 1:200 COMMONS WAY STE C
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-1915
Mailing Address - Country:US
Mailing Address - Phone:406-752-5095
Mailing Address - Fax:067-513-0794
Practice Address - Street 1:200 COMMONS WAY STE C
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-1915
Practice Address - Country:US
Practice Address - Phone:406-752-5059
Practice Address - Fax:406-751-3079
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PAC-LIC-437363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1518058205OtherBCBS
MT1518058205Medicaid
1069900OtherNCCPA
M011000072Medicare PIN