Provider Demographics
NPI:1386870368
Name:VOLLERTSEN CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:VOLLERTSEN CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:VOLLERTSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-449-2116
Mailing Address - Street 1:3180 DREDGE DR
Mailing Address - Street 2:STE C
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-0561
Mailing Address - Country:US
Mailing Address - Phone:406-449-2116
Mailing Address - Fax:
Practice Address - Street 1:3180 DREDGE DR
Practice Address - Street 2:STE C
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-0561
Practice Address - Country:US
Practice Address - Phone:406-449-2116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1198261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center