MEDICARE: DR. CATHLEEN H FELLOWS DC

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	672	MT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	M000004533	OTHER	MT	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04015202	OTHER	MT	WORK COMP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000040303	OTHER	MT	BCBS
4	604062	OTHER	MT	ACN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902986425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHLEEN H FELLOWS DC

Provider Business Mailing Address
First Line	:	753 S 24TH ST W
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-7406
Country	:	US
Telephone Number	:	406-656-4500
Fax Number	:	406-656-1377

Provider Business Practice Location Address
First Line	:	753 S 24TH ST W
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-7406
Country	:	US
Telephone Number	:	406-656-4500
Fax Number	:	406-656-1377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/17/2009

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Directions to “ DR. CATHLEEN H FELLOWS DC” Practice Location

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