Individual
MR. JEFFREY RUSSELL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1918 BROADWATER AVE, BILLINGS, MT 59102-4867
(406) 969-3805
(406) 969-3806
Mailing address
1918 BROADWATER AVE, BILLINGS, MT 59102-4867
(406) 969-3805
(406) 969-3806
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1017CHI
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M011001947
MEDICARE PTAN
MT
01
—
P01046796
RAILROAD MEDICARE PTAN
MT
Enumeration date
09/27/2006
Last updated
01/27/2020
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