Provider Demographics
NPI:1295254621
Name:CASTERLINE FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:CASTERLINE FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTERLINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-228-8212
Mailing Address - Street 1:914 JET DR
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:MT
Mailing Address - Zip Code:59230-1526
Mailing Address - Country:US
Mailing Address - Phone:406-228-8212
Mailing Address - Fax:
Practice Address - Street 1:125 4TH ST S
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230-2327
Practice Address - Country:US
Practice Address - Phone:406-228-8212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-18
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-4542261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center