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VAN DAM CHIROPRACTIC PC NPI 1205038023


NPI Information

NPI: 1205038023
Provider Name: VAN DAM CHIROPRACTIC, PC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1203 28TH ST S STE B
FARGO, ND
ZIP 58103
Phone: (701) 532-5320
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VAN DAM CHIROPRACTIC, PC is a point of service in Fargo, ND. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. VAN DAM CHIROPRACTIC, PC NPI is 1205038023. The provider is registered as an organization entity type.

The provider's business location address is:

1203 28TH ST S STE B
FARGO, ND
ZIP 58103-711
Phone: (701) 532-5320
Fax: (701) 280-2915

The provider's authorized official is Scott A Van Dam .
The authorized official title is President and has the following contact phone number (701) 280-2599.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 5/28/2019.


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
1305S00000XPoint of Service747NORTH 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
11750343877OTHERNORTH DAKOTAIND PROVIDER

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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