Provider Demographics
NPI:1568830107
Name:NATURAL MEDICINE CONSULTANTS
Entity Type:Organization
Organization Name:NATURAL MEDICINE CONSULTANTS
Other - Org Name:ONE DOC NATUROPATHIC MEDICINE
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMISON
Authorized Official - Middle Name:
Authorized Official - Last Name:STARBUCK
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:406-549-0005
Mailing Address - Street 1:1300 S RESERVE ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-4704
Mailing Address - Country:US
Mailing Address - Phone:406-549-0005
Mailing Address - Fax:
Practice Address - Street 1:1300 S RESERVE ST
Practice Address - Street 2:SUITE J
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-4704
Practice Address - Country:US
Practice Address - Phone:406-549-0005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT24261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service