ABUNDANTHEALTHFAMILYCHIROPRACTICPC NPI 1912171042

NPI Information

NPI: 1912171042
Provider Name: ABUNDANTHEALTHFAMILYCHIROPRACTICPC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
642 COTTONWOOD RD
SUITE 1
BOZEMAN, MT
ZIP 59718
Phone: (406) 585-7000
Get Directions

ABUNDANTHEALTHFAMILYCHIROPRACTICPC is a chiropractor in Bozeman, 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. ABUNDANTHEALTHFAMILYCHIROPRACTICPC NPI is 1912171042. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

642 COTTONWOOD RD
SUITE 1
BOZEMAN, MT
ZIP 59718-203
Phone: (406) 585-7000

The provider's authorized official is Kimberly A Maxwell .
The authorized official title is President/owner and has the following contact phone number (406) 585-7000.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 7/24/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		868	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000084011	OTHER	MONTANA	MEDICARE GROUP NUMBER
2	41811	OTHER	MONTANA	BLUE CROSS/BLUE SHIELD
3	000004602	OTHER	MONTANA	MEDICARE PROVIDER NUMBER
4	350047684	OTHER	MONTANA	RAIL ROAD MEDICARE

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

NPI Synchronization or Removal

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