Organization
FOELL CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN R FOELL DC (OWNER/PROVIDER)
(701) 845-3132
Entity
Organization
Contact information
Practice address
201 CENTRAL AVE S, VALLEY CITY, ND 58072-3330
(701) 845-3132
(701) 490-3398
Mailing address
201 CENTRAL AVE S, VALLEY CITY, ND 58072-3330
(701) 845-3132
(701) 490-3398
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
410
ND
111N00000X
Chiropractor
6004
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004302
BLUE CROSS/BLUE SHIELD
ND
05
—
1464168
—
ND
Enumeration date
07/24/2014
Last updated
06/27/2022
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