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Organization

SHAW CHIROPRACTIC HEALTH INSTITUTE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT D SHAW D.C. (PRESIDENT)
(701) 221-2788
Entity
Organization

Contact information

Practice address
1003 E INTERSTATE AVE, SUITE 5, BISMARCK, ND 58503-0500
(701) 221-2788
Mailing address
1003 E INTERSTATE AVE, SUITE 5, BISMARCK, ND 58503-0500
(701) 221-2788

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
732
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SHA23522
BLUE CROSS BLUE SHIELD
ND
Enumeration date
10/03/2007
Last updated
10/03/2007
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