Organization
DILLON BACK & NECK CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JAMES BELICE D.C. (OWNER DOCTOR)
(406) 683-9600
Entity
Organization
Contact information
Practice address
330 S IDAHO ST, DILLON, MT 59725-2532
(406) 683-9600
Mailing address
330 S IDAHO ST, DILLON, MT 59725-2532
(406) 683-9600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
903
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162928
—
MT
05
—
0162945
—
MT
01
—
350054899
RAILROAD MEDICARE
MT
01
—
41921
BLUE CROSS BLUE SHIELD
MT
Enumeration date
03/22/2007
Last updated
03/23/2012
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