Chirosport Pc

LBN: Chirosport Pc
Chirosport Pc is an health care organization with primary practice located at 128 E Holly Blvd , Brandon SD 57005-1114. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is the primary health care specialty. Chirosport Pc can be contacted via phone (605) 582-8800, or through Honner, Paige M via phone (605) 201-9191.

Contact Information

Primary practice address
128 E Holly Blvd Brandon SD 57005-1114
Phone: (605) 582-8800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Honner, Paige M
Phone: (605) 201-9191

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X C1019 South Dakota
Chiropractic Providers / Sports Physician 111NS0005X 1019 South Dakota

Profile Details

NPI number 1861511479
LBN Legal business name Chirosport Pc
DBA Doing business as
Authorized official Honner, Paige M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Sep 5th, 2012 - about 13 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 1861511479 NPPES
South Dakota MEDICAID 7601810
South Dakota Other 4995646

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