Chiropractic Clinic Of Three Forks | |
113 Main St Ste A, Three Forks, MT 59752-8997 | |
(406) 285-6935 | |
(406) 285-6874 |
Full Name | Chiropractic Clinic Of Three Forks |
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Type | Facility |
Speciality | Chiropractor |
Location | 113 Main St Ste A, Three Forks, Montana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1740432988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jack H Berg |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1922167725 PECOS PAC ID: 6608883905 Enrollment ID: I20060313000470 |
Mailing Address | Practice Location Address |
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Chiropractic Clinic Of Three Forks Po Box 1307, Three Forks, MT 59752-1307 Ph: (406) 285-6935 | Chiropractic Clinic Of Three Forks 113 Main St Ste A, Three Forks, MT 59752-8997 Ph: (406) 285-6935 |
Chiropractic Clinic Of Three Forks Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 217 Main St, Three Forks, MT 59752 Phone: 406-285-6935 Fax: 406-285-6935 | |
Dr. Jacob Edward Boll, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 25 Jefferson River Rd, Three Forks, MT 59752 Phone: 712-260-0831 | |
Jack Howard Berg, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 113 Main St Ste A, Three Forks, MT 59752 Phone: 406-285-6935 Fax: 406-285-6874 |