Organization
BELGRADE CHIROPRACTIC INC
Active
Parent organization
BELGRADE CHIROPRACTIC INC
Other names
Belgrade Back and Neck Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELGRADE CHIROPRACTIC INC
Authorized official
MR. S CLINT BRYAN DC (PRESIDENT)
(406) 388-2225
Entity
Organization
Contact information
Practice address
227 SPOONER RD, SUITE #B, BELGRADE, MT 59714-7813
(406) 388-2225
(406) 388-0664
Mailing address
227 SPOONER RD, SUITE #B, BELGRADE, MT 59714-7813
(406) 388-2225
(406) 388-0664
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
848
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000042151
BLUE CROSS BLUE SHIELD
MT
01
—
0162061
MEDICAID EPSDT#
MT
05
—
0162061
—
MT
01
—
350052048
RAILROAD MEDICARE
MT
Enumeration date
08/21/2006
Last updated
04/20/2008
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