Provider Demographics
NPI:1568606820
Name:JOHNSTON, HOLCOMB MIDDLEBROOK (ND)
Entity Type:Individual
Prefix:DR
First Name:HOLCOMB
Middle Name:MIDDLEBROOK
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 E MENDENHALL ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3727
Mailing Address - Country:US
Mailing Address - Phone:406-585-9113
Mailing Address - Fax:406-585-9103
Practice Address - Street 1:438 E MENDENHALL ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3727
Practice Address - Country:US
Practice Address - Phone:406-585-9113
Practice Address - Fax:406-585-9103
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT119175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath