NPI:
1740906148
Provider Name:
IMPACT CHIROPRACTIC CENTER, PLLC
Doing Business As: IMPACT CHIROPRACTIC CENTER, PLLC
Classification:
Clinic/Center - 261QH0100X
Entity Type:
Organization
Specialization: Health Service
Address:
250 25TH ST S STE B
FARGO, ND
ZIP 58103
Phone:
(701) 230-1825
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IMPACT CHIROPRACTIC CENTER, PLLC is a health service clinic center in Fargo, ND. IMPACT CHIROPRACTIC CENTER, PLLC NPI is 1740906148. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Impact Chiropractic Center, Pllc.
The provider's business location address is:
250 25TH ST S STE B
FARGO, ND
ZIP 58103-817
Phone: (701) 230-1825
The provider's authorized official is Joshua Nathan Jaeger .
The authorized official title is Owner and has the following contact phone number (701) 230-1825.
The enumeration date for this NPI number is 10/17/2022 and was last updated on 10/17/2022.