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Dr. Dustin M Fraker, DC
Chiropractor in Bozeman, Montana
NPI 1306900014

Dustin M Fraker is a Chiropractor based in Bozeman, MT. Dustin M Fraker practices in Bozeman, MT and has the professional credentials of DC. The NPI Number for Dustin M Fraker is 1306900014 and holds a License No. 1015 (Montana).

The current practice location address for Dustin M Fraker is 2622 W Main St Ste B, Bozeman, MT and can be reached out via phone at 406-587-9679 and via fax at 406-587-6093.

Location: 2622 W Main St Ste B, Bozeman, MT, 59718-3967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306900014
Provider Name
Dustin M Fraker
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2622 W Main St Ste B, Bozeman, MT, 59718-3967
Phone Number
406-587-9679
Fax Number
406-587-6093
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42223 01 MT BLUE CROSS BLUE SHIELD
0164281 05 MT
0164288 05 MT
350054790 01 MT RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2622 W Main St Ste B
City
Bozeman
State
Montana
Zip
59718-3967
Phone Number
406-587-9679
Fax Number
406-587-6093
person
Provider Business Mailing Address Details
Address
2622 W Main St Ste B
City
Bozeman
State
Montana
Zip
59718-3967
Phone Number
406-587-9679
Fax Number
406-587-6093
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1015 (Montana)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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