Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1085 | MT |
N | 111NR0400X | Rehabilitation Chiropractor | 1085 | MT |
N | 111NS0005X | Chiropractic Sports Physician | 1085 | MT |
N | 111NT0100X | Thermography | 1085 | MT |
NPI | 1326199688 |
---|---|
Provider Name | Dr. Jonathan M Wilhelm |
First Address | Belgrade, MT 59714-7900 |
Second Address | Belgrade, MT 59714-7900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V02939 | (02) | MT |