Individual
DR. ROXANNE MARIE SIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
310 BROADWAY ST, TOWNSEND, MT 59644-2222
(406) 521-0078
Mailing address
310 BROADWAY ST, TOWNSEND, MT 59644-2222
(406) 521-0078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
06868
IA
111N00000X
Chiropractor
Primary
1166
MT
111N00000X
Chiropractor
675
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011003818
MEDICARE PTAN
MT
Enumeration date
07/18/2006
Last updated
08/22/2011
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