Fraker, Dustin M

Fraker, Dustin M is an individual health care provider with primary practice located at 2622 W Main St Ste B , Bozeman MT 59718-3967. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fraker, Dustin M can be contacted via phone (406) 587-9679.

Contact Information

Primary practice address
2622 W Main St Ste B Bozeman MT 59718-3967
Phone: (406) 587-9679
Fax: (406) 587-6093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1015 Montana

Profile Details

NPI number 1306900014
LBN Legal business name Fraker, Dustin M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jun 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306900014 NPPES
Montana Other 42223 BLUE CROSS BLUE SHIELD
Montana MEDICAID 0164281 BLUE CROSS BLUE SHIELD
Montana MEDICAID 0164288 BLUE CROSS BLUE SHIELD
Montana Other 350054790 BLUE CROSS BLUE SHIELD

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