Provider Demographics
NPI:1740593516
Name:GRANT, BARTON LEE (DC)
Entity Type:Individual
Prefix:
First Name:BARTON
Middle Name:LEE
Last Name:GRANT
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 1:3429 CENTRAL AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-8609
Mailing Address - Country:US
Mailing Address - Phone:406-281-8262
Mailing Address - Fax:
Practice Address - Street 1:3429 CENTRAL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-8609
Practice Address - Country:US
Practice Address - Phone:406-281-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1230111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor