Individual
MRS. JEANNINE G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
126 E. BROADWAY ST., SUITE #22, MISSOULA, MT 59802
(406) 543-9883
(406) 926-1722
Mailing address
126 E BROADWAY ST., SUITE #22, MISSOULA, MT 59802
(406) 543-9883
(406) 926-1722
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
811
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164073
—
MT
05
—
0164084
—
MT
01
—
41321
BCBS
MT
Enumeration date
10/18/2006
Last updated
06/02/2014
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