| Ryan Chiropractic Clinic Pllc | |
|
690 N Meridian Rd Ste 108 Kalispell MT 59901-3586 | |
| (406) 755-6030 | |
| Not Available |
| Full Name | Ryan Chiropractic Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 690 N Meridian Rd, Kalispell, Montana |
| Authorized Official Name and Position | Timothy Parker Ryan (OWNER MEMBER) |
| Authorized Official Contact | 4067556030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Chiropractic Clinic Pllc 690 N Meridian Rd Ste 108 Kalispell MT 59901-3586 Ph: (406) 755-6030 | Ryan Chiropractic Clinic Pllc 690 N Meridian Rd Ste 108 Kalispell MT 59901-3586 Ph: (406) 755-6030 |
| NPI Number | 1053516807 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 12/19/2007 |
| Medicare PECOS PAC ID | 1355233404 |
|---|---|
| Medicare Enrollment ID | O20040325000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053516807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Timothy P Ryan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790713980 PECOS PAC ID: 1153213210 Enrollment ID: I20100917000623 |
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