| NPI | 1831372416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DOUGLAS ELLENBECKER President/Owner 701-838-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 440) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |