Individual
DR. PAUL M BEKKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1402 43RD ST S STE 200, FARGO, ND 58103-7500
(701) 356-0016
(701) 892-7064
Mailing address
1402 43RD ST S STE 200, FARGO, ND 58103-7500
(701) 356-0016
(701) 892-7064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
788
ND
111NR0400X
Rehabilitation Chiropractor
1378
ND
111NS0005X
Sports Physician Chiropractor
2197
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14168
—
ND
01
—
27849
BLUECROSS BLUESHIELD OF NORTH DAKOTA
ND
01
—
350048980
RAILROAD MEDICARE
WI
05
—
38872600
—
WI
05
—
404627700
—
MN
Enumeration date
08/05/2006
Last updated
06/09/2025
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