Organization
PURSUE WELLNESS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB BOLL DC (OWNER)
(406) 624-6404
Entity
Organization
Contact information
Practice address
2407 W MAIN ST STE 102, BOZEMAN, MT 59718-4112
(712) 729-3989
Mailing address
2407 W MAIN ST STE 102, BOZEMAN, MT 59718-4112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHI-CHI-LIC-4595
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861935173
—
IA
Enumeration date
09/21/2017
Last updated
11/14/2018
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