Health & Wellness Chiropractic Center Llc | |
448 21st St W Ste D2, Dickinson, ND 58601-2647 | |
(701) 483-6325 | |
Not Available |
Full Name | Health & Wellness Chiropractic Center Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 448 21st St W Ste D2, Dickinson, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629195342 | NPI | - | NPPES |
13483 | Medicaid | ND | |
06241-001 | Other | ND | BLUE CROSS BLUE SHIELD ND |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 738 AND 742 (North Dakota) | Primary |
Provider Name | Tyler J Leintz |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770554453 PECOS PAC ID: 6901891423 Enrollment ID: I20040426000844 |
Provider Name | Todd A Dorval |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619948460 PECOS PAC ID: 3375539984 Enrollment ID: I20050429000237 |
Mailing Address | Practice Location Address |
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Health & Wellness Chiropractic Center Llc 448 21st St W Ste D2, Dickinson, ND 58601-2647 Ph: (701) 483-6325 | Health & Wellness Chiropractic Center Llc 448 21st St W Ste D2, Dickinson, ND 58601-2647 Ph: (701) 483-6325 |
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