Provider Demographics
NPI:1538253760
Name:WHICKER, CURTIS B (MS)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:B
Last Name:WHICKER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S HAYNES AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-4779
Mailing Address - Country:US
Mailing Address - Phone:406-233-4327
Mailing Address - Fax:406-233-3985
Practice Address - Street 1:205 S HAYNES AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-4779
Practice Address - Country:US
Practice Address - Phone:406-233-4327
Practice Address - Fax:406-233-3985
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT957237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT533069Medicaid
MT000002770Medicare ID - Type Unspecified