SYVRUD CHIROPRACTIC CLINIC PC NPI 1518287101

NPI Information

SYVRUD CHIROPRACTIC CLINIC PC 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. SYVRUD CHIROPRACTIC CLINIC PC NPI is 1518287101. 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) 237-5150
Fax: (701) 237-5150

The provider's authorized official is Stacey M Larson .
The authorized official title is Office Manager and has the following contact phone number (701) 237-5150.

The CLIA number assigned to this NPI record is 35D0408449 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2010 and was last updated on 4/14/2016.

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:

Other Identifiers

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

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