| Bismarck Sports And Spine | |
|
1500 Interchange Ave Ste 202 Bismarck ND 58501-2084 | |
| (701) 712-6488 | |
| (701) 712-6487 |
| Full Name | Bismarck Sports And Spine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 Interchange Ave Ste 202, Bismarck, North Dakota |
| Authorized Official Name and Position | Dana Carr (CHIROPRACTOR/OWNER) |
| Authorized Official Contact | 7017126488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bismarck Sports And Spine 1500 Interchange Ave Ste 202 Bismarck ND 58501-2084 Ph: (701) 712-6488 | Bismarck Sports And Spine 1500 Interchange Ave Ste 202 Bismarck ND 58501-2084 Ph: (701) 712-6488 |
| NPI Number | 1538518857 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 08/15/2022 |
| Medicare PECOS PAC ID | 5799192332 |
|---|---|
| Medicare Enrollment ID | O20210329000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538518857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 40,644,500 (North Dakota) | Primary |
| Provider Name | Dana E Asplund |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326436783 PECOS PAC ID: 6608283247 Enrollment ID: I20210506000663 |
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