Provider Demographics
NPI:1518171057
Name:CHIROPRACTIC HEALTH ASSOCIATES PLLC
Entity Type:Organization
Organization Name:CHIROPRACTIC HEALTH ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HARLEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MISNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-656-3333
Mailing Address - Street 1:1407 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-5301
Mailing Address - Country:US
Mailing Address - Phone:406-656-3333
Mailing Address - Fax:
Practice Address - Street 1:1407 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-5301
Practice Address - Country:US
Practice Address - Phone:406-656-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT859111N00000X
MT922111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1598883191OtherNPI NUMBER
MT42171OtherBLUE CROSS BLUE SHIELD
MT1255458923OtherNPI NUMBER
MT42161OtherBLUE CROSS BLUE SHIELD
MT42171OtherBLUE CROSS BLUE SHIELD
MT000004638Medicare ID - Type UnspecifiedMEDICARE
MT=========OtherTAX ID NUMBER