Organization Name: | GARTH CHIROPRACTIC, P.C. |
NPI Number: | 1154556058 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYMOND H GARTH (PRESIDENT) |
Mailing Address: | 6475 Hwy 93 S Ste 56 Whitefish |
State: | MT US |
Postal Code: | 599378265 |
Phone Number: | 4068626142 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2009 |
NPI Last Update Date: | 05/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 791 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |