Provider Demographics
NPI:1518345768
Name:SALLAH, CHRIS
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:SALLAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 N 26TH ST
Mailing Address - Street 2:SUITE 51001
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1377
Mailing Address - Country:US
Mailing Address - Phone:406-215-1549
Mailing Address - Fax:
Practice Address - Street 1:316 N 26TH ST
Practice Address - Street 2:SUITE 51001
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1377
Practice Address - Country:US
Practice Address - Phone:406-215-1549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator