Provider Demographics
NPI:1801569314
Name:BIG SKY ORTHOPAEDICS AND SPINE
Entity type:Organization
Organization Name:BIG SKY ORTHOPAEDICS AND SPINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSTED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-995-2020
Mailing Address - Street 1:32 MARKET PL UNIT 1A
Mailing Address - Street 2:
Mailing Address - City:BIG SKY
Mailing Address - State:MT
Mailing Address - Zip Code:59716-7885
Mailing Address - Country:US
Mailing Address - Phone:406-995-2020
Mailing Address - Fax:
Practice Address - Street 1:32 MARKET PL UNIT 1A
Practice Address - Street 2:
Practice Address - City:BIG SKY
Practice Address - State:MT
Practice Address - Zip Code:59716-7885
Practice Address - Country:US
Practice Address - Phone:406-995-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty