Healthcare Provider Details

I. General information

NPI: 1700908209
Provider Name (Legal Business Name): OTTUN CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 10/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3307 GRAND AVE SUITE 201
BILLINGS MT
59102-6546
US

IV. Provider business mailing address

3307 GRAND AVE SUITE 201
BILLINGS MT
59102-6546
US

V. Phone/Fax

Practice location:
  • Phone: 406-259-9383
  • Fax: 406-294-2822
Mailing address:
  • Phone: 406-259-9383
  • Fax: 406-294-2822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number955
License Number StateMT

VIII. Authorized Official

Name: JOELEEN OTTUN COX
Title or Position: PRESIDENT
Credential: D.C.
Phone: 406-259-9383