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POKORNY CHIROPRACTIC CLINIC LLC NPI 1821501438


NPI Information

NPI: 1821501438
Provider Name: POKORNY CHIROPRACTIC CLINIC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2620 JACKSON BLVD
RAPID CITY, SD
ZIP 57702
Phone: (701) 290-9888
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POKORNY CHIROPRACTIC CLINIC, LLC 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. POKORNY CHIROPRACTIC CLINIC, LLC NPI is 1821501438. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2620 JACKSON BLVD
RAPID CITY, SD
ZIP 57702-502
Phone: (701) 290-9888

The provider's authorized official is Mason Pokorny .
The authorized official title is Owner and has the following contact phone number (701) 290-9888.

The enumeration date for this NPI number is 11/6/2017 and was last updated on 11/6/2017.


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
1111N00000XChiropractor954NORTH 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
11463430MEDICAIDNORTH 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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