Organization
MATTHEW R. DEROSIER, PLLC
Active
Other names
Chiropractic CareCentre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RICHARD DEROSIER D.C. (PRESIDENT/OWNER)
(701) 214-6245
Entity
Organization
Contact information
Practice address
1921 N 13TH ST, BISMARCK, ND 58501-1973
(701) 222-2252
(701) 222-3645
Mailing address
5108 37TH AVE NW, MANDAN, ND 58554-1188
(701) 204-7701
(701) 222-3645
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10761
—
ND
01
—
30063
BCBS-ND
ND
Enumeration date
03/24/2015
Last updated
03/24/2015
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