Provider Demographics
NPI:1326317546
Name:WHITEFISH ACUPUNCTURE & CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:WHITEFISH ACUPUNCTURE & CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-862-3546
Mailing Address - Street 1:181 HODGSON PINES WAY
Mailing Address - Street 2:OFFICE
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-8585
Mailing Address - Country:US
Mailing Address - Phone:406-862-3546
Mailing Address - Fax:
Practice Address - Street 1:181 HODGSON PINES WAY
Practice Address - Street 2:OFFICE
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-8585
Practice Address - Country:US
Practice Address - Phone:406-862-3546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1110111N00000X
MT1184111N00000X
MT204171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty