Organization
LIVINGSTON CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERLE BOUMA D.C. (OWNER)
(406) 222-0145
Entity
Organization
Contact information
Practice address
118 E CALLENDER ST, LIVINGSTON, MT 59047-2614
(406) 222-0145
(406) 222-0146
Mailing address
PO BOX 1344, LIVINGSTON, MT 59047-1344
(406) 222-0145
(406) 222-0146
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MT455CHI
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42000
BCBS
MT
01
—
DC5173
RAILROAD MEDICARE
MT
Enumeration date
12/21/2007
Last updated
12/28/2007
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