Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1030 | MT |
NPI | 1265581359 |
---|---|
Provider Name | Dr. Jonnie Kay Gilbert Taylor |
First Address | Great Falls, MT 59405-4604 |
Second Address | Great Falls, MT 59405-4604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00119675 | MEDICARE RAIL ROAD (01) | MT |