Provider Demographics
NPI:1740800382
Name:PURSUIT CHIROPRACTIC LLC
Entity type:Organization
Organization Name:PURSUIT CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:E
Authorized Official - Last Name:FEENSTRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-570-6368
Mailing Address - Street 1:110 N MONTANA ST
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-3308
Mailing Address - Country:US
Mailing Address - Phone:406-570-6368
Mailing Address - Fax:
Practice Address - Street 1:110 N MONTANA ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-3308
Practice Address - Country:US
Practice Address - Phone:406-570-6368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty