Healthcare Provider Details

I. General information

NPI: 1174561716
Provider Name (Legal Business Name): LOCKWOOD CHIROPRACTIC HEALTH CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 05/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 OLD HARDIN RD
BILLINGS MT
59101
US

IV. Provider business mailing address

PO BOX 31581
BILLINGS MT
59107-1581
US

V. Phone/Fax

Practice location:
  • Phone: 406-252-3156
  • Fax: 406-252-3156
Mailing address:
  • Phone: 406-252-3156
  • Fax: 406-252-3156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number631
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1046
License Number StateMT

VIII. Authorized Official

Name: DR. SCOT J BOWEN
Title or Position: PRESIDENT
Credential: DC
Phone: 406-252-3156