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Organization
HEALTHFIRST CHIROPRACTIC OF WATERTOWN
Active
Organization
HEALTHFIRST CHIROPRACTIC OF WATERTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HENDRICKS (CHIROPRACTOR)
(605) 882-3726
Entity
Organization
Contact information
Practice address
1024 29TH ST SE, WATERTOWN, SD 57201-9120
(605) 882-3726
(605) 882-3727
Mailing address
1024 29TH ST SE, WATERTOWN, SD 57201-9120
(605) 882-3726
(605) 882-3727
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1086
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174572309
WELLMARK BLUE CROSS AND BLUE SHIELD
—
05
—
1174572309
—
SD
Enumeration date
07/20/2009
Last updated
08/11/2009
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