Provider Demographics
NPI:1942997044
Name:FINKE, HEIDI
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:FINKE
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 1:112 S. 1ST AVE
Mailing Address - Street 2:SUITE 5, #326
Mailing Address - City:LAUREL
Mailing Address - State:MT
Mailing Address - Zip Code:59044
Mailing Address - Country:US
Mailing Address - Phone:406-505-4200
Mailing Address - Fax:406-505-4201
Practice Address - Street 1:1600 TIMBER WOLF TRL
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MT
Practice Address - Zip Code:59044-9488
Practice Address - Country:US
Practice Address - Phone:406-505-4200
Practice Address - Fax:406-505-4201
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty