Provider Demographics
NPI:1356468649
Name:DEEBLE, CHRISTINE WHITE (ND)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:WHITE
Last Name:DEEBLE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:COLETTE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:2831 FORT MISSOULA RD STE 105
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-7479
Mailing Address - Country:US
Mailing Address - Phone:406-542-2147
Mailing Address - Fax:406-728-0978
Practice Address - Street 1:2831 FORT MISSOULA RD STE 105
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-7479
Practice Address - Country:US
Practice Address - Phone:406-542-2147
Practice Address - Fax:406-728-0978
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT72175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT72OtherBOARD OF ALT HEALTHCARE