BRIAN V JONGEWARD NPI 1407909120

NPI Information

BRIAN V JONGEWARD is a clinic center in Grand Forks, ND. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BRIAN V JONGEWARD NPI is 1407909120. The provider is registered as an organization entity type.
The provider Is Doing Business As Chirocenter One.

The provider's business location address is:

2812 17TH AVE S STE C
GRAND FORKS, ND
ZIP 58201-048
Phone: (701) 775-0223
Fax: (701) 738-0655

The provider's authorized official is Brian V Jongeward .
The authorized official title is Owner Doctor and has the following contact phone number (701) 775-0223.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 2/21/2008.

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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