Provider Demographics
NPI:1295959609
Name:NATURAL MEDICINE CONSULTANTS
Entity type:Organization
Organization Name:NATURAL MEDICINE CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMISON
Authorized Official - Middle Name:
Authorized Official - Last Name:STARBUCK
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:406-549-0005
Mailing Address - Street 1:2516 S 14TH ST W
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-4750
Mailing Address - Country:US
Mailing Address - Phone:406-549-0005
Mailing Address - Fax:406-549-1753
Practice Address - Street 1:2516 S 14TH ST W
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-4750
Practice Address - Country:US
Practice Address - Phone:406-549-0005
Practice Address - Fax:406-549-1753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT24175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT29958OtherBLUE CROSS BLUE SHIELD