Individual
NICHOLL JURGENS-DINIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1531 W VILLARD ST STE A, DICKINSON, ND 58601-4651
(701) 225-7575
(701) 225-9697
Mailing address
1531 W VILLARD ST STE A, DICKINSON, ND 58601-4651
(701) 225-7575
(701) 225-9697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1324
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23726
BLUE CROSS
ND
05
—
54648
—
ND
Enumeration date
09/26/2006
Last updated
10/01/2009
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