Provider Demographics
NPI:1528139763
Name:WELKER, MICHAEL (DC)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:WELKER
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 1:2210 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-6049
Mailing Address - Country:US
Mailing Address - Phone:406-723-3200
Mailing Address - Fax:406-723-3338
Practice Address - Street 1:2210 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-6049
Practice Address - Country:US
Practice Address - Phone:406-723-3200
Practice Address - Fax:406-723-3338
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor