Provider Demographics
NPI:1659095875
Name:DC ENDEAVORS LLC
Entity Type:Organization
Organization Name:DC ENDEAVORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:DALGARDNO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-285-8753
Mailing Address - Street 1:181 BLACK DOG RD
Mailing Address - Street 2:
Mailing Address - City:GALLATIN GATEWAY
Mailing Address - State:MT
Mailing Address - Zip Code:59730-8588
Mailing Address - Country:US
Mailing Address - Phone:406-580-0688
Mailing Address - Fax:
Practice Address - Street 1:253 VILLAGE CENTER LN
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-8775
Practice Address - Country:US
Practice Address - Phone:406-285-8753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty