Healthcare Provider Details

I. General information

NPI: 1902924731
Provider Name (Legal Business Name): BERISH CHIROPRACTIC CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 RIMROCK RD STE G
BILLINGS MT
59102-0700
US

IV. Provider business mailing address

1690 RIMROCK RD STE G
BILLINGS MT
59102-0700
US

V. Phone/Fax

Practice location:
  • Phone: 406-259-4908
  • Fax: 406-252-0040
Mailing address:
  • Phone: 406-259-4908
  • Fax: 406-252-0040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number465
License Number StateMT

VIII. Authorized Official

Name: DR. KARLENE H BERISH
Title or Position: PRESIDENT
Credential: D.C.
Phone: 406-259-4908