Individual
JENNY M KOMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
110 DEWEY AVE, EUREKA, MT 59917
(406) 297-2999
(406) 297-7999
Mailing address
PO BOX 1557, EUREKA, MT 59917-1557
(406) 297-2999
(406) 297-7999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
919
MT
111NR0200X
Radiology Chiropractor
919
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164339
—
MT
05
—
0164346
—
MT
01
—
42131
BLUE CROSS BLUE SHIELD
MT
Enumeration date
10/18/2006
Last updated
01/25/2010
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