Individual
DR. BRIAN VANCE JONGEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2812 17TH AVE SOUTH, SUITE C, GRAND FORKS, ND 58201-4048
(701) 775-0223
Mailing address
2812 17TH AVE S, SUITE C, GRAND FORKS, ND 58201-4048
(701) 775-0223
(701) 738-0655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
611
ND
111NR0400X
Rehabilitation Chiropractor
Primary
611
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18728
—
ND
Enumeration date
11/01/2006
Last updated
09/11/2025
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