Provider Demographics
NPI:1265507982
Name:CAMERON, CHRISTINE LOUISE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LOUISE
Last Name:CAMERON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:LOUISE
Other - Last Name:FOSKETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2419 W MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-3812
Mailing Address - Country:US
Mailing Address - Phone:406-586-3556
Mailing Address - Fax:406-586-9332
Practice Address - Street 1:2419 W MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-3812
Practice Address - Country:US
Practice Address - Phone:406-586-3556
Practice Address - Fax:406-586-9332
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1213111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor