MEDICARE: FELLOWS CHIROPRACTIC CLINIC INC

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

General Provider Information

NPI Number	:	1538288824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FELLOWS CHIROPRACTIC CLINIC INC

Provider Business Mailing Address
First Line	:	753 S 24TH ST W
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-7406
Country	:	US
Telephone Number	:	406-656-4500
Fax Number	:	406-656-1377

Provider Business Practice Location Address
First Line	:	753 S 24TH ST W
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-7406
Country	:	US
Telephone Number	:	406-656-4500
Fax Number	:	406-656-1377

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CATHLEEN H FELLOWS
Credential	:	DC
Telephone Number	:	406-656-4500

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	10/29/2009

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