Provider Demographics
NPI:1326199688
Name:WILHELM, JONATHAN M (DC)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:M
Last Name:WILHELM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8757 JACKRABBIT LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-7900
Mailing Address - Country:US
Mailing Address - Phone:406-388-9915
Mailing Address - Fax:406-388-9916
Practice Address - Street 1:8757 JACKRABBIT LN
Practice Address - Street 2:SUITE A
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-7900
Practice Address - Country:US
Practice Address - Phone:406-388-9915
Practice Address - Fax:406-388-9916
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1085111N00000X, 111NR0400X, 111NS0005X, 111NT0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NT0100XChiropractic ProvidersChiropractorThermography
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTV02939Medicare UPIN