Provider Demographics
NPI:1700958949
Name:PARTNERSHIP FOR HEALTH & WELLNESS, INC.
Entity Type:Organization
Organization Name:PARTNERSHIP FOR HEALTH & WELLNESS, INC.
Other - Org Name:PARK COUNTY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:DOBELBOWER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACBN
Authorized Official - Phone:406-222-9373
Mailing Address - Street 1:1201 US HIGHWAY 10 W STE A1
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-9022
Mailing Address - Country:US
Mailing Address - Phone:406-222-9373
Mailing Address - Fax:406-222-4441
Practice Address - Street 1:1201 US HIGHWAY 10 W STE A1
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047-9022
Practice Address - Country:US
Practice Address - Phone:406-222-9373
Practice Address - Fax:406-222-4441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMT949CHI111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1649383552OtherINDIVIDUAL NPI
DG2913OtherRAILROAD MEDICARE PIN
MT1033196027OtherINDIVIDUAL NPI
MT40103OtherBLUECROSS BLUESHIELD
0000040445OtherBLUECROSS BLUESHIELD
MT1649383552OtherINDIVIDUAL NPI
MTU77756Medicare UPIN