Provider Demographics
NPI:1780447946
Name:ALLERGY & ASTHMA CARE
Entity type:Organization
Organization Name:ALLERGY & ASTHMA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:AUGUST
Authorized Official - Last Name:KAMRATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-721-4540
Mailing Address - Street 1:2230 27TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804
Mailing Address - Country:US
Mailing Address - Phone:406-721-4540
Mailing Address - Fax:406-721-1838
Practice Address - Street 1:2230 27TH AVENUE
Practice Address - Street 2:SUITE 3
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804
Practice Address - Country:US
Practice Address - Phone:406-721-4540
Practice Address - Fax:406-721-1838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty