Abc Chiropractic Pc

LBN: Abc Chiropractic Pc
Abc Chiropractic Pc is an health care organization with primary practice located at 826 Park Dr S , Fargo ND 58103-5336. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Abc Chiropractic Pc can be contacted via phone (701) 730-7079, or through Deitz, Jonathan Walter via phone (701) 730-7079.

Contact Information

Primary practice address
826 Park Dr S Fargo ND 58103-5336
Phone: (701) 730-7079
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deitz, Jonathan Walter Doctor of Chiropractic (DC)
Phone: (701) 730-7079

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 682 North Dakota

Profile Details

NPI number 1942604145
LBN Legal business name Abc Chiropractic Pc
DBA Doing business as
Authorized official Deitz, Jonathan Walter Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2014
Last updated Oct 16th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942604145 NPPES
North Dakota MEDICAID 11334

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