Provider Demographics
NPI:1053001834
Name:GRABBE, PATRICK SEAN (PA-S)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:SEAN
Last Name:GRABBE
Suffix:
Gender:M
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BRIDGER PEAK RD
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-8604
Mailing Address - Country:US
Mailing Address - Phone:406-579-9101
Mailing Address - Fax:
Practice Address - Street 1:25 BRIDGER PEAK RD
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-8604
Practice Address - Country:US
Practice Address - Phone:406-579-9101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program