Provider Demographics
NPI:1639506645
Name:OGDEN, JOHN JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JAMES
Last Name:OGDEN
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 1:80 FOUR MILE DR
Mailing Address - Street 2:SUITE 16
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2665
Mailing Address - Country:US
Mailing Address - Phone:406-756-7634
Mailing Address - Fax:
Practice Address - Street 1:80 FOUR MILE DR
Practice Address - Street 2:SUITE 16
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2665
Practice Address - Country:US
Practice Address - Phone:406-756-7634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program