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Individual

DR. CHAD JOSEPH HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4201 38TH ST S, SUITE 207, FARGO, ND 58104
(701) 893-3160
(701) 893-3161
Mailing address
4201 38TH ST S, SUITE 207, FARGO, ND 58104
(701) 893-3160
(701) 893-3161

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
727
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13461
ND
01
207M7HA
BCBS OF MN
MN
01
25583
BCBS OF ND
ND
01
666422
CHIROCARE MN
MN
Enumeration date
03/07/2007
Last updated
07/08/2007
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