Basic Information
| Provider Information | |||||||||
| NPI: | 1093854051 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PLANT | ||||||||
| FirstName: | ALBERT | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | RN | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | BOX 622 | ||||||||
| Address2: | |||||||||
| City: | ARLEE | ||||||||
| State: | MT | ||||||||
| PostalCode: | 59821 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4067260088 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 11 BITTERROOT JIM ROAD | ||||||||
| Address2: | |||||||||
| City: | ARLEE | ||||||||
| State: | MT | ||||||||
| PostalCode: | 59821 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4067263224 | ||||||||
| FaxNumber: | 4067264023 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN25132 | MT | Y | Nursing Service Providers | Registered Nurse |
No ID Information.