Provider Demographics
NPI:1184849994
Name:SOLOWAY, NATHANIEL (LMT, DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:
Last Name:SOLOWAY
Suffix:
Gender:M
Credentials:LMT, DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 N HOWIE ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-6242
Mailing Address - Country:US
Mailing Address - Phone:406-495-1729
Mailing Address - Fax:406-495-1729
Practice Address - Street 1:16 N HOWIE ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-6242
Practice Address - Country:US
Practice Address - Phone:406-495-1729
Practice Address - Fax:406-495-1729
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT679111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000004515Medicare ID - Type Unspecified