Donald Robert Blair, DC
Individual provider Active NPI Chiropractor · Missoula, MT
NPI 1083916993 · NPPES record last updated Apr 14, 2014
Key facts
- NPI
- 1083916993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1036 (MT)
- Practice address
- 1000 Burns St
Missoula, MT 59802-2118 - Phone
- (406) 291-5644
- NPI assigned
- Nov 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1036 | MT | MD | Chiropractor |
| 1686 | OH | MD | Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1036 | MT | Yes |
Addresses
Primary practice location
1000 Burns St
Missoula, MT 59802-2118
Mailing address
1000 Burns St
Missoula, MT 59802-2118
Phone (406) 291-5644
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.