Provider Demographics
NPI:1871649004
Name:BIG TIMBER FAMILY CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:BIG TIMBER FAMILY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:ZALES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-932-5797
Mailing Address - Street 1:300 MCLEOD ST.
Mailing Address - Street 2:PO BOX 1751
Mailing Address - City:BIG TIMBER
Mailing Address - State:MT
Mailing Address - Zip Code:59011-1751
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 MCLEOD ST.
Practice Address - Street 2:
Practice Address - City:BIG TIMBER
Practice Address - State:MT
Practice Address - Zip Code:59011-1751
Practice Address - Country:US
Practice Address - Phone:406-932-5797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT956261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center