Healthcare Provider Details

I. General information

NPI: 1528363272
Provider Name (Legal Business Name): GINA BJORKMAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2011
Last Update Date: 02/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 S 1ST ST STE B
HAMILTON MT
59840-3015
US

IV. Provider business mailing address

809 S 1ST ST
HAMILTON MT
59840-3015
US

V. Phone/Fax

Practice location:
  • Phone: 406-961-9022
  • Fax: 406-961-9023
Mailing address:
  • Phone: 406-961-9022
  • Fax: 406-961-9023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1245
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: