27D2069575 CLIA NUMBER - NORTHERN CHIROPRACTIC

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Laboratory Demographics

CLIA Number: 27D2069575

Facility Name: NORTHERN CHIROPRACTIC

Facility Address:
201 4TH ST
HARDIN, MT
ZIP 59034
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Facility Phone Number: 406 665-1555

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1649286337

Taxonomy: 111N00000X - Chiropractor
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.

CLIA Record

Field Name	Field Value
CLIA Number	27D2069575
LAB Type	Practitioner Other
Facility Name	NORTHERN CHIROPRACTIC
Street	201 4TH ST
City	HARDIN
State	MT
ZIP	59034
Phone	406 665-1555
CertificateType	4
CertificateEffectiveDate	11/26/2023
CertificateExpirationDate	11/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024