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WILLISTON PARKS AND RECREATION DEPT NPI 1568978138


NPI Information

NPI: 1568978138
Provider Name: WILLISTON PARKS AND RECREATION DEPT
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 35D2148880

Address:
822 18TH ST E
WILLISTON, ND
ZIP 58801
Phone: (701) 774-9773
Get Directions

WILLISTON PARKS AND RECREATION DEPT is a chiropractor in Williston, 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. WILLISTON PARKS AND RECREATION DEPT NPI is 1568978138. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

822 18TH ST E
WILLISTON, ND
ZIP 58801-475
Phone: (701) 774-9773

The provider's authorized official is Darin Lincoln Krueger .
The authorized official title is Executive Director and has the following contact phone number (701) 774-9773.

The CLIA number assigned to this NPI record is 35D2148880 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2017 and was last updated on 2/9/2018.


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
1111N00000XChiropractorYes
2225100000XPhysical TherapistNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.