Dustin M Fraker is a Chiropractor in Bozeman, Montana. Dustin M Fraker practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dustin M Fraker is 1306900014. The last update date is 2011-06-01.
Dustin M Fraker's current location address is 2622 W Main St, Bozeman, Montana. You can contact this provider via phone number 4065879679 and fax number 4065876093. The mailing address for Dustin M Fraker is 2622 W Main St, Bozeman, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dustin M Fraker |
|---|---|
| Address | 2622 W Main St, Bozeman, Montana |
| Phone Number | 4065879679 |
| Fax Number | 4065876093 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1306900014 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2011-06-01 |
Provider Mailing Address Detail
| Address | 2622 W Main St |
|---|---|
| City | Bozeman |
| State | Montana (MT) |
| Post Code | 597183967 |
| Phone Number | 4065879679 |
| Fax Number | 4065876093 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1015 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42223 | MT | BLUE CROSS BLUE SHIELD | |
| 164281 | MT | -- | |
| 164288 | MT | -- | |
| 350054790 | MT | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Dustin M Fraker by the Centers for Medicare & Medicaid Services (CMS)?
The Dustin M Fraker has been assigned the NPI (National Provider Identifier) 1306900014. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Dustin M Fraker is physically located?
The Dustin M Fraker is situated at the following address: 2622 W Main St, Bozeman, MT 597183967.
What is Dustin M Fraker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dustin M Fraker is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
When did Dustin M Fraker receive its 1306900014 assignment?
The Dustin M Fraker was assigned its 1306900014 on 2006-12-20, which is the date when this unique identifier was issued to the organization.
When was the Dustin M Fraker's information last updated?
The Dustin M Fraker's information was last updated on 2011-06-01.
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