Individual
DR. GARY EDWARD JIMMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1309 FRONT ST, FORT BENTON, MT 59442
(406) 622-5598
(406) 622-9090
Mailing address
PO BOX 1477, FORT BENTON, MT 59442-1477
(406) 622-5598
(406) 622-9090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
600
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04007720
STATE FUND WORKERS COMP
MT
01
—
40110
GREAT FALLS BC INS
—
01
—
42360
FORT BENTON BC INS
MT
Enumeration date
12/14/2006
Last updated
04/29/2020
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