Provider Demographics
NPI:1225849128
Name:BLUE FEATHER CLINIC PLLC
Entity type:Organization
Organization Name:BLUE FEATHER CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HERTING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-395-3836
Mailing Address - Street 1:1427 HELENA AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3024
Mailing Address - Country:US
Mailing Address - Phone:406-449-6441
Mailing Address - Fax:406-443-2624
Practice Address - Street 1:1427 HELENA AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3024
Practice Address - Country:US
Practice Address - Phone:406-449-6441
Practice Address - Fax:406-443-2624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty