| Hochhalter Chiropractic, Pc | |
|
118 2nd Street Nw Jamestown ND 58401-3117 | |
| (701) 952-2225 | |
| Not Available |
| Full Name | Hochhalter Chiropractic, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 2nd Street Nw, Jamestown, North Dakota |
| Authorized Official Name and Position | Blake Kerry Hochhalter (PRESIDENT) |
| Authorized Official Contact | 7019522225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hochhalter Chiropractic, Pc 118 2nd St Nw Jamestown ND 58401-3117 Ph: (701) 952-2225 | Hochhalter Chiropractic, Pc 118 2nd Street Nw Jamestown ND 58401-3117 Ph: (701) 952-2225 |
| NPI Number | 1043676257 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Medicare PECOS PAC ID | 9335443407 |
|---|---|
| Medicare Enrollment ID | O20160210001144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043676257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1020 (North Dakota) | Primary |
| Provider Name | Blake Kerry Hochhalter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003271784 PECOS PAC ID: 0244534311 Enrollment ID: I20160210001273 |
| Provider Name | Drew A Larsen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346816493 PECOS PAC ID: 0244636009 Enrollment ID: I20210902002796 |
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