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DEROSIER CHIROPRACTIC CLINIC P.C. NPI 1922148774


NPI Information

NPI: 1922148774
Provider Name: DEROSIER CHIROPRACTIC CLINIC, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4005 OVERLOOK DR
BISMARCK, ND
ZIP 58503
Phone: (701) 866-4084
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DEROSIER CHIROPRACTIC CLINIC, P.C. is a primary care clinic center in Bismarck, ND. DEROSIER CHIROPRACTIC CLINIC, P.C. NPI is 1922148774. The provider is registered as an organization entity type.

The provider's business location address is:

4005 OVERLOOK DR
BISMARCK, ND
ZIP 58503-216
Phone: (701) 866-4084

The provider's authorized official is Matthew R Derosier .
The authorized official title is President and has the following contact phone number (218) 284-6040.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 12/1/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care517MINNESOTAYes

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
1U89934MEDICARE UPINMINNESOTA

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: 4/28/2024

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