Provider Demographics
NPI:1629250238
Name:ALBIERO, PAMELA SUE (DC)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:SUE
Last Name:ALBIERO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:PAMELA
Other - Middle Name:SUE
Other - Last Name:FOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MT
Mailing Address - Zip Code:59911-0489
Mailing Address - Country:US
Mailing Address - Phone:406-837-3966
Mailing Address - Fax:406-837-3967
Practice Address - Street 1:104 CRESTVIEW DR UNIT 202
Practice Address - Street 2:
Practice Address - City:BIGFORK
Practice Address - State:MT
Practice Address - Zip Code:59911-3594
Practice Address - Country:US
Practice Address - Phone:406-837-3966
Practice Address - Fax:406-837-3967
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor