MEDICARE: BELT CHIROPRACTIC INC

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
1	111N00000X	Chiropractor	1190	MT

General Provider Information

NPI Number	:	1730311051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELT CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	PO BOX 624
Second Line	:
City	:	BELT
State	:	MT
Zip	:	59412-0624
Country	:	US
Telephone Number	:	406-799-5247
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 CASTNER ST
Second Line	:
City	:	BELT
State	:	MT
Zip	:	59412-8031
Country	:	US
Telephone Number	:	406-799-5247
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANDREW T MCCOY
Credential	:	D.C.
Telephone Number	:	406-799-5247

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	08/20/2009

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