Organization
JIMMERSON CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY E JIMMERSON D.C. (DOCTOR/OWNER)
(406) 727-5231
Entity
Organization
Contact information
Practice address
307 9TH ST S, GREAT FALLS, MT 59405-2105
(406) 727-5231
(406) 727-6392
Mailing address
307 9TH ST S, GREAT FALLS, MT 59405-2105
(406) 727-5231
(406) 727-6392
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
600
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M000004233
MEDICARE PTAN
MT
Enumeration date
11/02/2011
Last updated
11/29/2011
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