| |
605 8th St Nw, Cooperstown, ND 58425 | |
(701) 797-2941 | |
(701) 797-2942 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 605 8th St Nw, Cooperstown, North Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1932310315 | NPI | - | NPPES |
01713001 | Other | ND | BCBS GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 656 (North Dakota) | Primary |
Mailing Address | Practice Location Address |
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Po Box 385, Cooperstown, ND 58425-0385 Ph: (701) 797-2941 | 605 8th St Nw, Cooperstown, ND 58425 Ph: (701) 797-2941 |