Organization
CENTURY CHIROPRACTIC CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W BUTLER D.C. (OWNER)
(320) 762-0667
Entity
Organization
Contact information
Practice address
2308 S BROADWAY ST STE 5, ALEXANDRIA, MN 56308-4517
(320) 762-0667
(320) 762-1587
Mailing address
2308 S BROADWAY ST STE 5, ALEXANDRIA, MN 56308-4517
(320) 762-0667
(320) 762-1587
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2268
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03716
MEDICARE PROVIDER #
—
Enumeration date
12/20/2007
Last updated
12/20/2007
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