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HEARTLAND CLINIC CHIROPRACTIC PC NPI 1477739795


NPI Information

NPI: 1477739795
Provider Name: HEARTLAND CLINIC CHIROPRACTIC PC

Doing Business As: HEARTLAND CLINIC OF CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2525 DEMERS AVE
SUITE B
GRAND FORKS, ND
ZIP 58201
Phone: (701) 746-5977
Get Directions

HEARTLAND CLINIC 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. HEARTLAND CLINIC CHIROPRACTIC PC NPI is 1477739795. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heartland Clinic Of Chiropractic.

The provider's business location address is:

2525 DEMERS AVE
SUITE B
GRAND FORKS, ND
ZIP 58201-622
Phone: (701) 746-5977
Fax: (701) 746-5976

The provider's authorized official is Daniel G. Kiefat .
The authorized official title is President/owner and has the following contact phone number (701) 746-5977.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/6/2012.


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
1111N00000XChiropractor726NORTH 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
1622662100MEDICAIDMINNESOTA
212742MEDICAIDNORTH DAKOTA
3064K8HEOTHERMINNESOTABCBS OF MINNESOTA
4U95343MEDICARE UPIN
5N23135MEDICARE PIN
623135OTHERNORTH DAKOTABCBS OF 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: 11/14/2023

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