Provider Demographics
NPI:1881846988
Name:THE MONTANA CLINIC, PC
Entity Type:Organization
Organization Name:THE MONTANA CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:H
Authorized Official - Last Name:NORSLIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-538-7201
Mailing Address - Street 1:120 WUNDERLIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LEWISTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59457-2358
Mailing Address - Country:US
Mailing Address - Phone:406-538-7201
Mailing Address - Fax:406-538-3037
Practice Address - Street 1:120 WUNDERLIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:LEWISTOWN
Practice Address - State:MT
Practice Address - Zip Code:59457-2358
Practice Address - Country:US
Practice Address - Phone:406-538-7201
Practice Address - Fax:406-538-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT893111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty