BOSSART CHIROPRACTIC LIFE CENTER PC NPI 1659563310

NPI Information

NPI: 1659563310
Provider Name: BOSSART CHIROPRACTIC LIFE CENTER PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address: 1815 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 239-4710

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NPI Details

BOSSART CHIROPRACTIC LIFE CENTER PC is a chiropractor in Fargo, 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. BOSSART CHIROPRACTIC LIFE CENTER PC NPI is 1659563310. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1815 UNIVERSITY DR S
FARGO, ND
ZIP 58103-900
Phone: (701) 239-4710
Fax: (701) 239-4719

The provider's authorized official is Thomas David Bossart .
The authorized official title is President and has the following contact phone number (701) 239-4710.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 12/20/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		549	NORTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	18215	MEDICAID	NORTH DAKOTA
2	3C874BO	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD MN
3	U48792	MEDICARE UPIN	NORTH DAKOTA
4	N712783	MEDICARE PIN	NORTH DAKOTA
5	01189001	OTHER	NORTH DAKOTA	BLUE CROSS BLUE SHIELD ND
6	549	OTHER	NORTH DAKOTA	COMMERCIAL

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: 3/30/2025

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