Provider Demographics
NPI:1588695662
Name:GARTH, RAY H II (DC, DACAN)
Entity type:Individual
Prefix:DR
First Name:RAY
Middle Name:H
Last Name:GARTH
Suffix:II
Gender:M
Credentials:DC, DACAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6475 US HIGHWAY 93 S STE 56
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-8265
Mailing Address - Country:US
Mailing Address - Phone:406-862-9100
Mailing Address - Fax:406-862-9206
Practice Address - Street 1:6475 US HIGHWAY 93 S STE 56
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-8265
Practice Address - Country:US
Practice Address - Phone:406-862-9100
Practice Address - Fax:406-862-9206
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT791111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT4377Medicare ID - Type Unspecified