Organization
KOSTELECKY CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS L. KOSTELECKY D.C. (PRESIDENT)
(406) 265-8111
Entity
Organization
Contact information
Practice address
236 4TH AVE, HAVRE, MT 59501-3621
(406) 265-8111
(406) 265-4606
Mailing address
236 4TH AVE, HAVRE, MT 59501-3621
(406) 265-8111
(406) 265-4606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
555
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730259052
NPI
MT
01
—
M000004203
MEDICARE PTAN
MT
Enumeration date
03/03/2011
Last updated
03/03/2011
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