Healthcare Provider Details

I. General information

NPI: 1649286337
Provider Name (Legal Business Name): NORTHERN CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 01/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W 4TH STREET
HARDIN MT
59034
US

IV. Provider business mailing address

201 W 4TH STREET
HARDIN MT
59034
US

V. Phone/Fax

Practice location:
  • Phone: 406-665-1555
  • Fax: 406-665-1345
Mailing address:
  • Phone: 406-665-1555
  • Fax: 406-665-1345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number677
License Number StateMT

VIII. Authorized Official

Name: DR. GEORGE L TOYNE
Title or Position: PRESIDENT
Credential: DC
Phone: 406-665-1555