Organization
DYNAMIC CHIROPRACTIC PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSEY M SIVERTSEN DC (DOCTOR, MANAGER, OWNER)
(605) 661-9639
Entity
Organization
Contact information
Practice address
310 E MAIN ST, PARKSTON, SD 57366
(605) 928-5000
Mailing address
PO BOX 417, PARKSTON, SD 57366-0417
(605) 661-9639
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154752640
—
SD
Enumeration date
02/06/2019
Last updated
05/26/2019
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