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HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE REHAB OF SIOUX FALLS PC NPI 1922055714


NPI Information

NPI: 1922055714
Provider Name: HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE REHAB OF SIOUX FALLS PC

Doing Business As: HEALTHSOURCE OF SIOUX FALLS SOUTH

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5128 S CLIFF AVE STE 200
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 357-8093
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HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE REHAB OF SIOUX FALLS 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. HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE REHAB OF SIOUX FALLS PC NPI is 1922055714. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthsource Of Sioux Falls South.

The provider's business location address is:

5128 S CLIFF AVE STE 200
SIOUX FALLS, SD
ZIP 57108-475
Phone: (605) 357-8093
Fax: (605) 357-8102

The provider's authorized official is Heath Marsh .
The authorized official title is Owner and has the following contact phone number (605) 357-8093.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 1/8/2020.


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
1111N00000XChiropractor993SOUTH 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
17601740MEDICAIDSOUTH DAKOTA
222262OTHERSOUTH DAKOTASVHP
34996421OTHERSOUTH DAKOTABLUE CROSS BLUE SHIELD

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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