Valley Spine Center, Inc.

LBN: Valley Spine Center, Inc.
Valley Spine Center, Inc. is an health care organization with primary practice located at 319 11Th St N , Wahpeton ND 58075-4111. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is the primary health care specialty. Valley Spine Center, Inc. can be contacted via phone (701) 642-6480, or through Mitskog, Alisa T via phone (701) 642-6480.

Contact Information

Primary practice address
319 11Th St N Wahpeton ND 58075-4111
Phone: (701) 642-6480
Fax: (701) 642-6011
Website:
Map and Directions
Authorized official contact:
Name: Mitskog, Alisa T Doctor of Chiropractic (DC)
Phone: (701) 642-6480

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 289 North Dakota
Chiropractic Providers / Chiropractor 111N00000X 750 North Dakota
Chiropractic Providers / Sports Physician 111NS0005X 500 North Dakota

Profile Details

NPI number 1427171636
LBN Legal business name Valley Spine Center, Inc.
DBA Doing business as
Authorized official Mitskog, Alisa T Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Apr 22nd, 2013 - 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 1427171636 NPPES
North Dakota Other 24675 BCBS
North Dakota MEDICAID 922509900 BCBS
North Dakota Other 25401 BCBS
North Dakota MEDICAID 17175 BCBS
North Dakota Other 296001 BCBS
North Dakota Other 634001 BCBS
North Dakota Other 91002MI BCBS
North Dakota MEDICAID 13184 BCBS
North Dakota MEDICAID 13349 BCBS
North Dakota MEDICAID 16659600 BCBS
North Dakota Other 71653MI BCBS
North Dakota Other 25402 BCBS
North Dakota MEDICAID 500688100 BCBS

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