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Organization

HUNGERFORD CHIROPRACTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD JASON HUNGERFORD DC (PRESIDENT)
(605) 697-5145
Entity
Organization

Contact information

Practice address
2218 DERDALL DR, BROOKINGS, SD 57006-2851
(605) 697-5145
(605) 697-5135
Mailing address
2218 DERDALL DR, BROOKINGS, SD 57006-2851
(605) 697-5145
(605) 697-5135

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
879 SD
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4245
SANFORD HEALTH PLAN
SD
01
600095
MEDICA
SD
01
C879
DAKOTACARE
SD
Enumeration date
02/28/2008
Last updated
08/26/2008
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