GILLETTE FAMILY CHIROPRACTIC CLINIC NPI 1003205030

NPI Information

NPI: 1003205030
Provider Name: GILLETTE FAMILY CHIROPRACTIC CLINIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
825 25TH ST S
FARGO, ND
ZIP 58103
Phone: (701) 237-4010
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GILLETTE FAMILY CHIROPRACTIC CLINIC is a chiropractor in Fargo, ND. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GILLETTE FAMILY CHIROPRACTIC CLINIC NPI is 1003205030. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

825 25TH ST S
FARGO, ND
ZIP 58103-724
Phone: (701) 237-4010
Fax: (701) 237-5150

The provider's authorized official is Darrin S Gillette .
The authorized official title is Owner and has the following contact phone number (701) 237-4010.

The enumeration date for this NPI number is 1/14/2015 and was last updated on 1/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		672	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GIL18266	OTHER	NORTH DAKOTA	BLUE CROSS BLUE SHIELD OF ND
2	13D48GI	OTHER		BLUE CROSS BLUE SHIELD OF MN
3	U75514	MEDICARE UPIN	NORTH DAKOTA
4	11052	MEDICAID	NORTH DAKOTA
5	N18266	MEDICARE PIN	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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