Organization
ADVANCE CHIROPRACTIC CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANN HANSON (OFFICE MANAGER)
(701) 772-2670
Entity
Organization
Contact information
Practice address
2840 19TH AVE S, GRAND FORKS, ND 58201-5957
(701) 772-2670
(701) 772-2706
Mailing address
2840 19TH AVE S, GRAND FORKS, ND 58201-5957
(701) 772-2670
(701) 772-2706
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003814484
INDIVIDUAL NPI
—
01
—
1679570758
INDIVIDUAL NPI
—
Enumeration date
07/17/2018
Last updated
07/17/2018
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