Organization
VAN DAM CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A VAN DAM D.C. (PRESIDENT)
(701) 280-2599
Entity
Organization
Contact information
Practice address
1203 28TH ST S STE B, FARGO, ND 58103-8711
(701) 532-5320
(701) 280-2915
Mailing address
1203 28TH ST S STE B, FARGO, ND 58103-8711
(701) 532-5320
(701) 280-2915
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
747
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750343877
IND PROVIDER
ND
Enumeration date
06/04/2007
Last updated
05/28/2019
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