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General NPI Number Information
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NPI Number | 1518418755
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Entity Type | Organization
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Legal Business Name | COONEYS CHIROPRACTIC
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 800 W PLATINUM ST STE 2
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City | BUTTE
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State | MT
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Zip | 59701-2237
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Country | US
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Telephone | 406-494-0700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1420
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City | ANACONDA
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State | MT
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Zip | 59711-1420
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Country | US
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Telephone | 406-723-7300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANDY COONEY
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Credential |
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Telephone | 406-494-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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