Individual
DOUGLAS S VANDOLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
30 N MAIN AVE, CHOTEAU, MT 59422
(406) 466-5665
Mailing address
PO BOX 1448, CHOTEAU, MT 59422-1448
(406) 466-5665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
902
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000161517
—
MT
05
—
0000161534
—
MT
01
—
41931
BLUE CROSS/BLUE SHIELD MT
MT
01
—
M000004415
MEDICARE PTAN
MT
Enumeration date
09/22/2005
Last updated
10/26/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us