Jordan Bagley
Chiropractic Sports Physician
338 N Ewing St
Helena
, Montana 59601-4050
Jordan Bagley
Chiropractic Sports Physician
338 N Ewing St
Helena
, Montana 59601-4050
(406) 750-6176
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Jordan Bagley
- 48 Tail Feather Ln Apt C
- Bozeman, MT
- Zip : 59718-8459
- Phone : (406) 750-6176
Second Address
- Jordan Bagley
- 338 N Ewing St
- Helena, MT
- Zip : 59601-4050
- Phone : (406) 750-6176
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | CHI-CHI-LIC-5067 | MT |
National Provider Identifier
| NPI | 1063916302 |
|---|---|
| Provider Name | Jordan Bagley |
| First Address | Bozeman, MT 59718-8459 |
| Second Address | Helena, MT 59601-4050 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2018 |
| Last Update Date | 21/03/2018 |
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.