Healthcare Provider Details

I. General information

NPI: 1265597348
Provider Name (Legal Business Name): JEFF SAAD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 ASPEN DRIVE 6
BIG SKY MT
59716
US

IV. Provider business mailing address

PO BOX 160055
BIG SKY MT
59716-0055
US

V. Phone/Fax

Practice location:
  • Phone: 406-995-4050
  • Fax:
Mailing address:
  • Phone: 406-995-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number760
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: