Provider Demographics
NPI:1750565602
Name:HILBORN, BRYAN G (DC)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:G
Last Name:HILBORN
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 1:900 N MONTANA AVE STE B1
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3845
Mailing Address - Country:US
Mailing Address - Phone:406-443-4188
Mailing Address - Fax:406-443-4517
Practice Address - Street 1:900 N MONTANA AVE STE B1
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3845
Practice Address - Country:US
Practice Address - Phone:406-443-4188
Practice Address - Fax:406-443-4517
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT850111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT350044253OtherRAILROAD MEDICARE
MT350044253OtherRAILROAD MEDICARE