DOUGLAS S VANDOLAH (NPI# 1760478069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760478069 |
Entity Type | Individual |
Full Name | DOUGLAS S VANDOLAH |
Credential | DC |
Practice Address |
30 N Main Ave Choteau MT 59422 |
Mailing Address |
Po Box 1448 Choteau MT 59422-1448 |
Practice Telephone | 4064665665 |
Mailing Telephone | 4064665665 |
Enumeration Date | 2005-09-22 |
Last Update Date | 2010-10-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 902 | MT | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0000161534 | 05 | |
MT | BLUE CROSS/BLUE SHIELD MT | 41931 | 01 |
MT | MEDICARE PTAN | M000004415 | 01 |
MT | 0000161517 | 05 |
Street Address |
30 N MAIN AVE |
City | CHOTEAU |
State | MT |
Zip Code | 59422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518117985 | John H Schieffelbein | Social Worker | 19 3rd Street Northeast, Center for Mental Health, Choteau, MT 59422 | 2008-09-23 |
1649492588 | David Binns Selander | Dentist | 23 7th Avenue Nw, Choteau, MT 59422 | 2007-05-02 |
1750438909 | Choteau Activities Inc | Day Training, Developmentally Disabled Services | 109 Main Avenue North, Choteau, MT 59422 | 2007-01-03 |
1053379289 | County of Teton | Ambulance | Hwy 89 County Courthouse, Choteau, MT 59422 | 2006-05-04 |
1871556613 | Judy E Borland | Family Medicine | 915 4th St. Nw, Choteau, MT 59422 | 2006-04-11 |
1598756322 | County of Teton | Nursing Facility/Intermediate Care Facility | 24 Main Ave N, Choteau, MT 59422 | 2005-11-01 |
1518307339 | Lucas Mccann Allen | Dentist | 15 1st St Ne, Choteau, MT 59422 | 2013-06-25 |
1326138579 | Pondera Medical Center | Clinic/Center | 19 1st St Ne, Choteau, MT 59422 | 2006-10-16 |
1255500740 | Choteau Drug, Inc | Durable Medical Equipment & Medical Supplies | 102 Main Ave North, Choteau, MT 59422-0040 | 2008-02-28 |
1376608216 | Choteau Drug, Inc | Pharmacy | 102 North Main Ave., Choteau, MT 59422-0040 | 2006-12-22 |
Find all providers in zip 59422 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588277024 | Morgan Kumpula | Chiropractor | 235 N 1st St W Ste A, Missoula, MT 59802-3661 | 2020-08-25 |
1588288583 | Tyler Torkelson | Chiropractor | 515 S Reserve St Ste 3, Missoula, MT 59801-2125 | 2020-06-04 |
1679192355 | Garrett Clinton Irene | Chiropractor | 926 Main St Ste 15, Billings, MT 59105-3359 | 2020-04-13 |
1801421672 | Shayne Michael Durbin | Chiropractor | 2110 Overland Ave Ste 103, Billings, MT 59102-6440 | 2020-03-11 |
1174157200 | Xseed Chiropractic LLC | Chiropractor | 3576 Mt Highway 40 W, Columbia Falls, MT 59912 | 2020-02-27 |
1467082990 | Maggie Grace Quigley | Chiropractor | 5835 Us Highway 93 S, Whitefish, MT 59937-8414 | 2020-01-23 |
1023657632 | Erik Morrell | Chiropractor | 2405 W Main St Ste 8, Bozeman, MT 59718-3978 | 2019-12-30 |
1104462522 | Havre Chiropractic Clinic, LLC | Chiropractor | 1465 Us Highway 2 Nw Ste D, Havre, MT 59501-3423 | 2019-11-20 |
1235774241 | Highland Family Chiropractic, P.C. | Chiropractor | 128 W Granite St, Butte, MT 59701-9216 | 2019-11-13 |
1679116842 | Marcus Dobbins | Chiropractor | 62 S Last Chance Gulch Ste A, Helena, MT 59601-4149 | 2019-10-21 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.