Organization
TIFANY A. BURCKHARD-TEETS, DC-P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFANY A BURCKHARD-TEETS DC (OWNER)
(701) 838-5000
Entity
Organization
Contact information
Practice address
1825 16TH ST SW, MINOT, ND 58701-6428
(701) 838-5000
(701) 852-1184
Mailing address
1825 16TH ST SW, MINOT, ND 58701-6428
(701) 838-5000
(701) 852-1184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
690
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02089001
BLUE CROSS BLUE SHIELD
ND
Enumeration date
03/07/2007
Last updated
08/22/2020
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