MARQUARDT CHIROPRACTIC CLINIC (DR. MAGE R. LEE) NPI 1952817439

Clinic/Center in Missoula, MT

NPI 1952817439 Organization Clinic/Center

About MARQUARDT CHIROPRACTIC CLINIC (DR. MAGE R. LEE)

Marquardt Chiropractic Clinic (dr. Mage R. Lee) is a provider established in Missoula, Montana specializing in clinic/center. The NPI number of Marquardt Chiropractic Clinic (dr. Mage R. Lee) is 1952817439 and was assigned on December 2017. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Marquardt Chiropractic Clinic. The authorized official of this NPI record is Mage R Lee Dc (Owner)

NPI

1952817439

Provider NameMARQUARDT CHIROPRACTIC CLINIC (DR. MAGE R. LEE)
Provider Location Address1203 MOUNT AVE MISSOULA, MT 59801
Provider Mailing Address1203 MOUNT AVE MISSOULA, MT 59801
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMARQUARDT CHIROPRACTIC CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date12-20-2017
Last Update Date03-20-2018


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

MARQUARDT CHIROPRACTIC CLINIC
1203 MOUNT AVE
MISSOULA, MT
ZIP 59801
Phone: (406) 543-5251

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Mailing Address

MARQUARDT CHIROPRACTIC CLINIC
1203 MOUNT AVE
MISSOULA, MT
ZIP 59801
Phone: (406) 543-5251



Authorized Official

Authorized Official Name MAGE R LEE DC
Authorized Official TitleOWNER
Authorized Official Phone(406) 543-5251

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceMTNo

Taxonomy Description: Not Available

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861659211 JESSICA LYNNE CULLINAN
Individual
Massage Therapist1203 MOUNT AVE
MISSOULA, MT 59801
(406) 543-5251
1003040437MISS TIARA Z LIBERTY C.M.T
Individual
Massage Therapist1203 MOUNT AVE
MISSOULA, MT 59801
(406) 543-5251
1487959474 BECCI SNOWDEN CMT
Individual
Massage Therapist1203 MOUNT AVE
MISSOULA, MT 59801
(406) 543-5251
1770850349MRS. ANDRIANA LEIGH STUBE B.A, LMT
Individual
Massage Therapist1203 MOUNT AVE
MISSOULA, MT 59801
(406) 543-5251
1255451738DR. JAMES P MARQUARDT D.C.
Individual
Chiropractor1203 MOUNT AVE
MISSOULA, MT 59801
(406) 543-5251
1356858179DR. MAGE R LEE DC
Individual
Chiropractor1203 MOUNT AVE
MISSOULA, MT 59801
(406) 543-5251
1669949483MR. MICHAEL EMERY LMT
Individual
Massage Therapist1203 MOUNT AVE
MISSOULA, MT 59801
(406) 552-2902
1932661352 KYLE PHILLIP DIETRICH LMT
Individual
Massage Therapist1203 MOUNT AVE
MISSOULA, MT 59801
(626) 818-2780
1952966038 LAUREL PETERSON LMT
Individual
Massage Therapist1203 MOUNT AVE
MISSOULA, MT 59801
(406) 543-5251
1932264496MARQUARDT CHIROPRACTIC CLINIC PC
Organization
Chiropractor1203 MOUNT AVE
MISSOULA, MT 59801
(406) 543-5251

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.