| Bozeman Chiropractic Clinic, Llc | |
|
15 S 5th Ave Bozeman MT 59715-4443 | |
| (406) 451-5123 | |
| Not Available |
| Full Name | Bozeman Chiropractic Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 S 5th Ave, Bozeman, Montana |
| Authorized Official Name and Position | Eric Whitmont (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4064515123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bozeman Chiropractic Clinic, Llc 15 S 5th Ave Bozeman MT 59715-4443 Ph: (406) 451-5123 | Bozeman Chiropractic Clinic, Llc 15 S 5th Ave Bozeman MT 59715-4443 Ph: (406) 451-5123 |
| NPI Number | 1740817568 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 09/08/2023 |
| Medicare PECOS PAC ID | 0547691107 |
|---|---|
| Medicare Enrollment ID | O20200514001496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740817568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Eric Whitmont |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225669807 PECOS PAC ID: 1456782010 Enrollment ID: I20200514001591 |
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