Individual
JACOB CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 MCKINLEY ST STE 1, LEWISTOWN, MT 59457-2353
(406) 535-5001
Mailing address
222 SW ASH ST, LEWISTOWN, MT 59457-3205
(406) 535-5001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MT
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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