Provider Demographics
NPI:1467715268
Name:FLORENCE-CARLTON CHIROPRACTIC
Entity Type:Organization
Organization Name:FLORENCE-CARLTON CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MARSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-273-4686
Mailing Address - Street 1:5537 US HIGHWAY 93 N
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLORENCE
Mailing Address - State:MT
Mailing Address - Zip Code:59833-6845
Mailing Address - Country:US
Mailing Address - Phone:406-273-4686
Mailing Address - Fax:406-273-4846
Practice Address - Street 1:5537 US HIGHWAY 93 N
Practice Address - Street 2:SUITE A
Practice Address - City:FLORENCE
Practice Address - State:MT
Practice Address - Zip Code:59833-6845
Practice Address - Country:US
Practice Address - Phone:406-273-4686
Practice Address - Fax:406-273-4846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty