Prideaux, Daniel R.

Prideaux, Daniel R. is an sole proprietor health care provider with primary practice located at 1001 Sw Higgins Ave Suite 102, Missoula MT 59803-1341. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Prideaux, Daniel R. can be contacted via phone (406) 721-4425.

Contact Information

Primary practice address
1001 Sw Higgins Ave Suite 102 Missoula MT 59803-1341
Fax: (406) 721-4426
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 437 Montana

Profile Details

NPI number 1851496467
LBN Legal business name Prideaux, Daniel R.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1851496467 NPPES
Montana Other 4142-0 BC/BS

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