Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CHI-CHI-LIC-5593 | MT |
Y | 175F00000X | Naturopath | AHC-NAT-LIC-1794 | MT |
N | 175F00000X | Naturopath | NT60463323 | WA |
NPI | 1033164967 |
---|---|
Provider Name | Dr. Jazper Ethan Torres |
First Address | Bigfork, MT 59911-0652 |
Second Address | Kalispell, MT 59901-2665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 04/10/2020 |