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SOUTHEASTERN CHIROPRACTIC PC NPI 1639425515


NPI Information

NPI: 1639425515
Provider Name: SOUTHEASTERN CHIROPRACTIC PC

Doing Business As: YOUR FAMILY CHIROPRACTOR

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5011 S BUR OAK PL
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 371-3346
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SOUTHEASTERN CHIROPRACTIC PC is a chiropractor in Sioux Falls, 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. SOUTHEASTERN CHIROPRACTIC PC NPI is 1639425515. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Your Family Chiropractor.

The provider's business location address is:

5011 S BUR OAK PL
SIOUX FALLS, SD
ZIP 57108-228
Phone: (605) 371-3346

The provider's authorized official is Thomas Keith Jensen .
The authorized official title is Owner and has the following contact phone number (605) 371-3346.

The enumeration date for this NPI number is 7/30/2012 and was last updated on 10/4/2012.


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
1111N00000XChiropractor924SOUTH 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
17600700MEDICAIDSOUTH DAKOTA
2S6860MEDICARE UPINSOUTH 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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