| Wellness 4 Life Chiropractic, Pc | |
|
575 10th St Sw Ste 5 Valley City ND 58072-3906 | |
| (563) 223-8343 | |
| Not Available |
| Full Name | Wellness 4 Life Chiropractic, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 575 10th St Sw Ste 5, Valley City, North Dakota |
| Authorized Official Name and Position | Laura Lassiter (PRESIDENT) |
| Authorized Official Contact | 5633703237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness 4 Life Chiropractic, Pc 834 7th St Nw Valley City ND 58072-2027 Ph: (563) 370-3237 | Wellness 4 Life Chiropractic, Pc 575 10th St Sw Ste 5 Valley City ND 58072-3906 Ph: (563) 223-8343 |
| NPI Number | 1629531884 |
|---|---|
| Provider Enumeration Date | 04/12/2019 |
| Last Update Date | 04/12/2019 |
| Medicare PECOS PAC ID | 8729314570 |
|---|---|
| Medicare Enrollment ID | O20190731002706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629531884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Laura M Lassiter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659440600 PECOS PAC ID: 5193828226 Enrollment ID: I20190731002845 |
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