Organization
PARKSTON CHIROPRACTIC CLINIC, PROF. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA ANN WOLF DC (CHIROPRACTOR)
(605) 928-7777
Entity
Organization
Contact information
Practice address
103 WEST GLYNN DRIVE, PARKSTON, SD 57366
(605) 928-7777
(605) 928-1477
Mailing address
PO BOX 815, PARKSTON, SD 57366-0815
(605) 928-7777
(605) 928-1477
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
999
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9238339
DAKOTACARE
SD
Enumeration date
07/12/2006
Last updated
03/09/2015
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