MEDICARE: STEVEN DOUGLAS HERTING DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	34668	CA
2	111N00000X	Chiropractor	CHI-CHI-LIC-6133	MT

General Provider Information

NPI Number	:	1285276758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN DOUGLAS HERTING DC

Provider Business Mailing Address
First Line	:	1427 HELENA AVE
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-3024
Country	:	US
Telephone Number	:	406-449-6441
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 5TH ST N STE 206
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-4010
Country	:	US
Telephone Number	:	925-395-3836
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2019
Last Update Date	:	02/12/2020

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