Provider Demographics
NPI:1821171588
Name:DOVE, JOANNA L (ND)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:L
Last Name:DOVE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:HEART & SOUL
Other - Middle Name:
Other - Last Name:NATUROPATHIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:910 E LYNDALE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-2933
Mailing Address - Country:US
Mailing Address - Phone:406-442-2928
Mailing Address - Fax:406-457-8265
Practice Address - Street 1:910 E LYNDALE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-2933
Practice Address - Country:US
Practice Address - Phone:406-442-2928
Practice Address - Fax:406-457-8265
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2023-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT157171100000X
MT69175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT285908Medicare UPIN
MT298148Medicare UPIN