| NPI | 1740906148 |
|---|---|
| Doing Business As | IMPACT CHIROPRACTIC CENTER, PLLC |
| Entity Type | Organization |
| Authorized Contact | JOSHUA NATHAN JAEGER Owner 701-230-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |