Provider Demographics
NPI:1861083826
Name:FIRST CHOICE HEALTH OPTIMIZATION
Entity type:Organization
Organization Name:FIRST CHOICE HEALTH OPTIMIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:DREYER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:406-551-2273
Mailing Address - Street 1:PO BOX 11929
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59719-1929
Mailing Address - Country:US
Mailing Address - Phone:614-560-9659
Mailing Address - Fax:406-551-2073
Practice Address - Street 1:205 HAGGERTY LN STE 120
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-8804
Practice Address - Country:US
Practice Address - Phone:406-551-2273
Practice Address - Fax:406-551-2073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty