Provider Demographics
NPI:1477724938
Name:SOLARI, KURT R (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:R
Last Name:SOLARI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 S RESERVE ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-6455
Mailing Address - Country:US
Mailing Address - Phone:406-549-0777
Mailing Address - Fax:406-721-9008
Practice Address - Street 1:1900 S RESERVE ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-6455
Practice Address - Country:US
Practice Address - Phone:406-549-0777
Practice Address - Fax:406-721-9008
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1069CHI111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0165529Medicaid
MT0165516Medicaid