Core Health Chiro Pa | |
4955 17th Ave S Suite 108 Fargo ND 58103 | |
(701) 364-2673 | |
Not Available |
Full Name | Core Health Chiro Pa |
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Speciality | Clinic/Center |
Location | 4955 17th Ave S, Fargo, North Dakota |
Authorized Official Name and Position | Dustin James Barton (CHIROPRACTOR) |
Authorized Official Contact | 7013642673 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Core Health Chiro Pa 4955 17th Ave S Suite 108 Fargo ND 58103 Ph: (701) 364-2673 | Core Health Chiro Pa 4955 17th Ave S Suite 108 Fargo ND 58103 Ph: (701) 364-2673 |
NPI Number | 1144487893 |
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Provider Enumeration Date | 05/20/2008 |
Last Update Date | 05/20/2008 |
Medicare PECOS PAC ID | 4183903974 |
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Medicare Enrollment ID | O20161118000998 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144487893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 8601 (North Dakota) | Primary |
Provider Name | Dustin J Barton |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1568632347 PECOS PAC ID: 3274605217 Enrollment ID: I20080708000183 |
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