MISSOULA OSTEOPATHIC CLINIC, PLLC – NPI #1912133885
Neuromusculoskeletal Medicine & OMM

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

MISSOULA OSTEOPATHIC CLINIC, PLLC is a provider located in MISSOULA, MT. NPPES has assigned the NPI number 1912133885 to MISSOULA OSTEOPATHIC CLINIC, PLLC on June 05, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204D00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine & OMM.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MISSOULA OSTEOPATHIC CLINIC, PLLC below.

NPI Profile for
MISSOULA OSTEOPATHIC CLINIC, PLLC

NPI Number
1912133885
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MISSOULA OSTEOPATHIC CLINIC, PLLC
Primary location
341 W PINE ST
MISSOULA, MT 59802-4119
Phone: (406) 327-0269 Fax: (406) 327-0264
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAM WALLACE
OWNER/PHYSICIAN
Phone: (406) 327-0269
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204D00000X
- Neuromusculoskeletal Medicine & OMM (Primary)
MT 11754

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.