NPI | 1104162924 |
---|---|
Former Legal Business Name | THOMSEN CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | BRENT LEE THOMSEN CEO 701-845-2481 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 883) |
Enumeration Date | 2012-12-26 |
Last Update Date | 2012-12-26 |