Provider Demographics
NPI:1063571396
Name:GARVIN, DONALD D (DC)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:D
Last Name:GARVIN
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 1:926 MAIN STREET
Mailing Address - Street 2:SUITE 17
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3359
Mailing Address - Country:US
Mailing Address - Phone:406-245-4800
Mailing Address - Fax:406-245-6504
Practice Address - Street 1:926 MAIN ST
Practice Address - Street 2:SUITE 17
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-3359
Practice Address - Country:US
Practice Address - Phone:406-245-4800
Practice Address - Fax:406-245-6504
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT328111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic