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Ms. Ellen Lucille Wicklund, DC
Chiropractor in Ronan, Montana
NPI 1902970312

Ellen Lucille Wicklund is a Chiropractor based in Ronan, MT. Ellen Lucille Wicklund practices in Ronan, MT and has the professional credentials of DC. The NPI Number for Ellen Lucille Wicklund is 1902970312 and holds a License No. 1050 (Montana).

The current practice location address for Ellen Lucille Wicklund is 206 Main St Sw, Ronan, MT and can be reached out via phone at 406-676-0170 and via fax at 406-676-0160.

Location: 206 Main St Sw, Ronan, MT, 59864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902970312
Provider Name
Ellen Lucille Wicklund
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
206 Main St Sw, Ronan, MT, 59864
Phone Number
406-676-0170
Fax Number
406-676-0160
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00067474 01 RR MEDICARE
40743 01 BCBS
institution
Provider Business Practice Location Address Details
Address
206 Main St Sw
City
Ronan
State
Montana
Zip
59864
Phone Number
406-676-0170
Fax Number
406-676-0160
person
Provider Business Mailing Address Details
Address
206 Main St Sw
City
Ronan
State
Montana
Zip
59864
Phone Number
406-676-0170
Fax Number
406-676-0160
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1050 (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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