Provider Demographics
NPI:1790188183
Name:CARVALHO, ANTHONY J (ND)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:CARVALHO
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1884
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59624-1884
Mailing Address - Country:US
Mailing Address - Phone:406-414-6400
Mailing Address - Fax:406-414-6646
Practice Address - Street 1:314 N LAST CHANCE GULCH STE 221
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5062
Practice Address - Country:US
Practice Address - Phone:406-414-6400
Practice Address - Fax:406-414-6646
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAHC-NAT-LIC-2329175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath