Dr. Jack O Ford
Neuromusculoskeletal Medicine (NMM)
700 W Gold St
Butte
, Montana 59701-2320
Dr. Jack O Ford
Neuromusculoskeletal Medicine (NMM)
700 W Gold St
Butte
, Montana 59701-2320
(406) 782-6585
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. Jack O Ford
- 700 W Gold St
- Butte, MT
- Zip : 59701-2320
- Fax : (406) 782-6585
- Phone : (406) 782-6391
Second Address
- Dr. Jack O Ford
- 700 W Gold St
- Butte, MT
- Zip : 59701-2320
- Fax : (406) 782-6585
- Phone : (406) 782-6391
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 10733 | MT |
National Provider Identifier
| NPI | 1417059924 |
|---|---|
| Provider Name | Dr. Jack O Ford |
| First Address | Butte, MT 59701-2320 |
| Second Address | Butte, MT 59701-2320 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0095438 | (05) | MT |
| 99955 | BLUE CROSS BLUE SHIELD (01) | MT |
| E04560 | (02) | MT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.