Provider Type Icon

CLEARWATER CHIROPRACTIC PC NPI 1013658566


NPI Information

NPI: 1013658566
Provider Name: CLEARWATER CHIROPRACTIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2330 SOUTH HIGGINS AVE
SUITE 100
MISSOULA, MT
ZIP 59801
Phone: (406) 728-0330
Get Directions

CLEARWATER CHIROPRACTIC PC is a chiropractor in Missoula, MT. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CLEARWATER CHIROPRACTIC PC NPI is 1013658566. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2330 SOUTH HIGGINS AVE
SUITE 100
MISSOULA, MT
ZIP 59801-923
Phone: (406) 728-0330
Fax: (406) 728-0330

The provider's authorized official is Glen Maricelli .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (406) 550-3493.

The enumeration date for this NPI number is 4/6/2022 and was last updated on 4/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.