Provider Demographics
NPI:1255414447
Name:ECHEVERRI, EEVA IRMELI (MD)
Entity type:Individual
Prefix:DR
First Name:EEVA
Middle Name:IRMELI
Last Name:ECHEVERRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 N 29TH ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1985
Mailing Address - Country:US
Mailing Address - Phone:406-245-3526
Mailing Address - Fax:
Practice Address - Street 1:208 N 29
Practice Address - Street 2:SUITE 216
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-245-3526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT64342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT100282Medicaid
MT100282Medicaid
D38761Medicare UPIN