Provider Demographics
NPI:1578350120
Name:AULD, INISMIN
Entity type:Individual
Prefix:
First Name:INISMIN
Middle Name:
Last Name:AULD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26352 KTUNAXA LOOP # 86
Mailing Address - Street 2:
Mailing Address - City:ELMO
Mailing Address - State:MT
Mailing Address - Zip Code:59915-9716
Mailing Address - Country:US
Mailing Address - Phone:406-309-5097
Mailing Address - Fax:
Practice Address - Street 1:330 MAIN ST SW
Practice Address - Street 2:
Practice Address - City:RONAN
Practice Address - State:MT
Practice Address - Zip Code:59864-2707
Practice Address - Country:US
Practice Address - Phone:406-676-0630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-BHPS-CRT-78727175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist