Individual
SHANNON CLINT BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
227 SPOONER RD, SUITE #B, BELGRADE, MT 59714-7813
(406) 388-0663
(406) 388-0664
Mailing address
227 SPOONER RD, SUITE #B, BELGRADE, MT 59714-7813
(406) 388-0663
(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
BCBS OF MONTANA
MT
05
—
0162061
—
MT
01
—
0162078
MEDICAID EPSDT
MT
01
—
149499
NEW WEST HEALTH SERVICES
MT
01
—
350052048
RAILROAD MEDICARE
MT
01
—
810528339001
EBMS OF MONTANA
MT
Enumeration date
11/21/2006
Last updated
10/08/2013
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