NPI | 1275727588 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY DEAN BLANCHARD Owner 701-352-1690 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 311) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 565) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2011-03-31 |