Organization
D FRAKER INC
Active
Other names
Wellness Worx
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN M FRAKER D.C. (PRESIDENT)
(406) 587-9679
Entity
Organization
Contact information
Practice address
2622 W MAIN ST, STE B, BOZEMAN, MT 59718-3967
(406) 587-9679
(406) 587-9679
Mailing address
2622 W MAIN ST, SUITE B, BOZEMAN, MT 59718-3967
(406) 587-9679
(406) 587-6093
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1015
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000082422
MEDICARE GROUP
MT
05
—
0164288
—
MT
01
—
350054790
RAILROAD MEDICARE
MT
01
—
40483
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/27/2007
Last updated
06/28/2011
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