Organization
BRIAN V JONGEWARD
Active
Other names
ChiroCenter One
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN V JONGEWARD DC (OWNER DOCTOR)
(701) 775-0223
Entity
Organization
Contact information
Practice address
2812 17TH AVE S STE C, GRAND FORKS, ND 58201-4048
(701) 775-0223
(701) 738-0655
Mailing address
2812 17TH AVE S STE C, GRAND FORKS, ND 58201-4048
(701) 775-0223
(701) 738-0655
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
611
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376620831
INDIVIDUAL NPI
ND
01
—
1407909120
CLINIC NPI
ND
05
—
18728
—
ND
Enumeration date
01/18/2007
Last updated
02/21/2008
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