Organization · NPI-2

Bozeman Chiropractic Clinic, LLC

Clinic/Center · Bozeman, MT

NPI number1740817568
StatusActive
Last updated in NPPESSep 8, 2023

Details

NPI
1740817568
Entity type
Organization (NPI-2)
Legal business name
Bozeman Chiropractic Clinic, LLC
Organization subpart
No
Enumeration date
Mar 23, 2020
Certification date
Sep 8, 2023
Last updated
Sep 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

15 S 5th Ave
Bozeman, MT 59715-4443

Phone 406-451-5123

Mailing address

15 S 5th Ave
Bozeman, MT 59715-4443

Phone 406-451-5123 · Fax 406-577-2011

Authorized official

Eric Whitmont
Authorized Official
4064515123

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