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NPI Code Detail

MEDICARE: TREASURE STATE CHIROPRACTIC PC

MEDICARE: TREASURE STATE CHIROPRACTIC PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1588145494
Entity Type Code : Organization
Provider Name (Legal Business Name) : TREASURE STATE CHIROPRACTIC PC
Provider Business Mailing Address
First Line : 7935 MT HIGHWAY 35 STE 201
Second Line :
City : BIGFORK
State : MT
Zip : 59911-5711
Country : US
Telephone Number : 406-420-2811
Fax Number :
Provider Business Practice Location Address
First Line : 7935 MT HIGHWAY 35 STE 201
Second Line :
City : BIGFORK
State : MT
Zip : 59911-5711
Country : US
Telephone Number : 406-420-2811
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MEGAN SHOULTZ
Credential :
Telephone Number : 406-420-2811
Provider Enumeration Date : 08/28/2018
Last Update Date : 11/05/2018

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Directions to “TREASURE STATE CHIROPRACTIC PC ” Practice Location

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