Provider Demographics
NPI:1154198703
Name:STINE, CONNOR (DC)
Entity type:Individual
Prefix:
First Name:CONNOR
Middle Name:
Last Name:STINE
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 SILVER LEAF LN
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-9625
Mailing Address - Country:US
Mailing Address - Phone:406-599-9518
Mailing Address - Fax:406-545-3394
Practice Address - Street 1:58 SILVER LEAF LN
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-9625
Practice Address - Country:US
Practice Address - Phone:406-599-9518
Practice Address - Fax:406-545-3394
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-8692111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor