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Contact Information

DANIEL R PRIDEAUX, D.C.
1001 SW HIGGINS AVE
SUITE 102
MISSOULA, MT59803-1341
 Phone: 406-721-4425
 Fax: 406-721-4426
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for DANIEL R PRIDEAUX · (Male)

NPI Number 1851496467
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 09/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 437
  • MT Other 4142-0 BC/BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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