Individual
DR. WAYNE EMMETT JACOBSMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
430 NUCLEUS AVENUE, COLUMBIA FALLS, MT 59912
(406) 892-5203
(406) 892-5246
Mailing address
PO BOX 1718, COLUMBIA FALLS, MT 59912
(406) 892-5203
(406) 892-5246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
422
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000040210
BLUE CROSS
MT
01
—
04000279
STATE PAYEE NUMBER
MT
Enumeration date
10/24/2006
Last updated
07/08/2007
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