Provider Demographics
NPI:1043589278
Name:NIETER, INC
Entity Type:Organization
Organization Name:NIETER, INC
Other - Org Name:ATLAS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NIETER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-257-4001
Mailing Address - Street 1:33 VILLAGE LOOP RD UNIT C
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2948
Mailing Address - Country:US
Mailing Address - Phone:406-257-4001
Mailing Address - Fax:406-257-0359
Practice Address - Street 1:33 VILLAGE LOOP RD UNIT C
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2948
Practice Address - Country:US
Practice Address - Phone:406-257-4001
Practice Address - Fax:406-257-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1039111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty