Back To Back Chiropractic Clinic, Pc

NPI 1023331345 - Chiropractor - 111N00000X

NPI Details
NPI 1023331345
Enumeration Date 03/02/2010
Last Updated 03/02/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JEROME R JEROME
Position OWNER/PRESIDENT
Phone (701) 838-0223
Fax (701) 838-0238
Practice Location
1050 31ST AVE SW
SUITE D
MINOT ND, 58701-2005, US
Phone (701) 838-0223
Fax (701) 838-0238
Business Location
1050 31ST AVE SW
SUITE D
MINOT ND, 58701-2005, US
Phone (701) 838-0223
Fax (701) 838-0238
Toxanomy
Taxonomy Code 111N00000X
License State North Dakota
License Number 436
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According to our database, Back To Back Chiropractic Clinic, Pc NPI is 1023331345, taxonomy code is 111N00000X and license number is 436, license state is located at North Dakota. Back To Back Chiropractic Clinic, Pc physically located at 1050 31st Ave Sw, Minot ND, 58701-2005. NPI Number 1033115704 has the healthcare provider type.

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1023331345 NPI number is provided on an as is basis without warranty of any kind. 1023331345 is maintained by the National Plan & Provider Enumeration System. The contents of Back To Back Chiropractic Clinic, Pc are for informational purposes only.