Provider Demographics
NPI:1053474965
Name:WELKER CHIROPRACTIC PC
Entity Type:Organization
Organization Name:WELKER CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:WELKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-723-3200
Mailing Address - Street 1:700 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2988
Mailing Address - Country:US
Mailing Address - Phone:406-723-3200
Mailing Address - Fax:406-723-3338
Practice Address - Street 1:700 E FRONT ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2988
Practice Address - Country:US
Practice Address - Phone:406-723-3200
Practice Address - Fax:406-723-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT040841OtherBCBS