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ADVANCE CHIROPRACTIC CLINIC P.C. NPI 1003950023


NPI Information

NPI: 1003950023
Provider Name: ADVANCE CHIROPRACTIC CLINIC, P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2840 19TH AVE S
GRAND FORKS, ND
ZIP 58201
Phone: (701) 772-2670
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ADVANCE CHIROPRACTIC CLINIC, P.C. is a chiropractor in Grand Forks, 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. ADVANCE CHIROPRACTIC CLINIC, P.C. NPI is 1003950023. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2840 19TH AVE S
GRAND FORKS, ND
ZIP 58201-957
Phone: (701) 772-2670
Fax: (701) 772-2706

The provider's authorized official is Julie Ann Hanson .
The authorized official title is Office Manager and has the following contact phone number (701) 772-2670.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 12/3/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor516NORTH DAKOTANo
2111N00000XChiropractor566NORTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1N13490OTHERNORTH DAKOTAMEDICARE ID-PIN
218198MEDICAIDNORTH DAKOTA
3N70688MEDICARE UPINNORTH DAKOTA
4013490OTHERNORTH DAKOTABC/BS PROVIDER NUMBER
51003814484OTHERNORTH DAKOTANPI
610679570758OTHERNORTH DAKOTANPI
7N10810OTHERNORTH DAKOTAMEDICARE ID-PIN
8010810OTHERNORTH DAKOTABC/BS PROVIDER NUMBER
9675-001OTHERNORTH DAKOTABC/BS CLINIC NUMBER
1016663MEDICAIDNORTH DAKOTA
111003950023OTHERNORTH DAKOTAGROUP NPI

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: 11/14/2023

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