GRIZZLY SPINE PAIN AND REHAB, PC; NPI #1104097351

Contact Information

GRIZZLY SPINE PAIN AND REHAB, PC

3 MERIDIAN CT
SUITE 2
KALISPELL, MT 59901-4240

Phone: 406-755-4488
Fax: 406-755-4481
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pain	261QP3300X
Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for GRIZZLY SPINE PAIN AND REHAB, PC

NPI Number 1104097351

LBN Legal business name GRIZZLY SPINE PAIN AND REHAB, PC

Authorized official SCOTT JAHNKE - (DOCTOR - OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/17/2008

Last updated 04/06/2020 - About 6 years ago

Identifiers

License #

10947

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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