Individual
DR. DANIEL LAWRENCE UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
415 N. BROADWAY AVE., SUITE 2, RED LODGE, MT 59068-1637
(406) 446-4433
(406) 446-4433
Mailing address
415 N. BROADWAY AVE., SUITE 2, RED LODGE, MT 59068-1637
(406) 446-4433
(406) 446-4433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
961
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-1423592
FEDERAL TAX ID
MT
Enumeration date
11/02/2006
Last updated
09/29/2011
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