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RED RIVER FAMILY CHIROPRACTIC PC NPI 1033395280


NPI Information

NPI: 1033395280
Provider Name: RED RIVER FAMILY CHIROPRACTIC, PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2534 17TH AVE S
SUITE 2D
GRAND FORKS, ND
ZIP 58201
Phone: (701) 746-8636
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RED RIVER FAMILY CHIROPRACTIC, PC 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. RED RIVER FAMILY CHIROPRACTIC, PC NPI is 1033395280. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2534 17TH AVE S
SUITE 2D
GRAND FORKS, ND
ZIP 58201-215
Phone: (701) 746-8636
Fax: (701) 746-8827

The provider's authorized official is Bradley Robert Thomsen .
The authorized official title is President/owner and has the following contact phone number (701) 746-8636.

The enumeration date for this NPI number is 1/18/2008 and was last updated on 5/19/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor649NORTH 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
113185MEDICAIDNORTH DAKOTA
2N714301MEDICARE PINNORTH 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: 11/14/2023

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