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Contact Information

WESTERN MONTANA SPINE & INJURY CLINIC PLLC
2409 DEARBORN AVE
SUITE I
MISSOULA, MT59801-7586
 Phone: 406-541-7763
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for WESTERN MONTANA SPINE & INJURY CLINIC PLLC

NPI Number 1487942058
LBN Legal business name WESTERN MONTANA SPINE & INJURY CLINIC PLLC
Authorized official CHRISTOPHER MOORE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2011
Last updated 08/02/2012 - About 14 years ago
Identifiers
MT License # 1219
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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