Individual
JONATHON H REDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
205 SHEYENNE ST, WEST FARGO, ND 58078-1752
(701) 282-2919
(701) 282-2932
Mailing address
205 SHEYENNE ST STE 3, WEST FARGO, ND 58078-1752
(701) 282-2919
(701) 282-2932
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
614
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18723
—
ND
01
—
350048167
RAILROAD MEDICARE
—
01
—
RED20140
BLUE CROSS BLUE SHIELD
ND
Enumeration date
08/04/2006
Last updated
07/25/2024
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