Organization
LIFE ENERGY CHIROPRACTIC & WELLNESS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA NATHAN JAEGER D.C. (OWNER/PRESIDENT)
(701) 356-5433
Entity
Organization
Contact information
Practice address
4955 17TH AVE S, SUITE 108, FARGO, ND 58103-3372
(701) 356-5433
(701) 364-2675
Mailing address
4955 17TH AVE S, SUITE 108, FARGO, ND 58103-3372
(701) 356-5433
(701) 364-2675
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
857
ND
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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