| |
222 E Main St # 1-c, Ennis, MT 59729-9229 | |
(406) 946-1813 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 222 E Main St # 1-c, Ennis, Montana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1447848288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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222 E Main St # 1-c, Ennis, MT 59729-9229 Ph: (406) 946-1813 | 222 E Main St # 1-c, Ennis, MT 59729-9229 Ph: (406) 946-1813 |