Provider Demographics
NPI:1952648263
Name:SYBRANT, MICHAEL ALLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALLAN
Last Name:SYBRANT
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:PO BOX 5114
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-5114
Mailing Address - Country:US
Mailing Address - Phone:406-862-2121
Mailing Address - Fax:406-863-9301
Practice Address - Street 1:5938 US HIGHWAY 93 S
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-8415
Practice Address - Country:US
Practice Address - Phone:406-862-2121
Practice Address - Fax:406-863-9301
Is Sole Proprietor?:No
Enumeration Date:2013-01-07
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-2352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor