Colton Bill Hoffenbacker, DC
Individual provider Active NPI Chiropractor · Lakeside, MT
NPI 1518411560 · NPPES record last updated Aug 8, 2016
Key facts
- NPI
- 1518411560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHI-CHI-LIC-4109 (MT)
- Practice address
- 7176 US Highway 93 S
Lakeside, MT 59922-9728 - Phone
- (406) 844-2151
- NPI assigned
- Aug 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHI-CHI-LIC-4109 | MT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Sparrows Family Chiropractic & Wellness LLC | Chiropractor | Past |
Accepting new patients |
| Lakeside Chiropractic Clinic PC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHI-CHI-LIC-4109 | MT | Yes |
Addresses
Primary practice location
7176 US Highway 93 S
Lakeside, MT 59922-9728
Mailing address
7176 US Highway 93 S
Lakeside, MT 59922-9728
Other providers in Lakeside, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2016. 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.