BLICKENSDERFER CHIROPRACTIC P C NPI 1538386511

NPI Information

BLICKENSDERFER CHIROPRACTIC P C is a chiropractor in Rapid City, SD. 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. BLICKENSDERFER CHIROPRACTIC P C NPI is 1538386511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2326 CANYON LAKE DR
STE 7
RAPID CITY, SD
ZIP 57702-913
Phone: (605) 343-1113
Fax: (605) 342-8424

The provider's authorized official is William C Blickensderfer .
The authorized official title is Owner and has the following contact phone number (605) 343-1113.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/2/2007.

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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