Organization
MADISON CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KNISLEY (OFFICE MANAGER)
(605) 256-0336
Entity
Organization
Contact information
Practice address
732 S WASHINGTON AVE, MADISON, SD 57042
(605) 256-0336
(605) 256-0760
Mailing address
732 S WASHINGTON AVE, MADISON, SD 57042-3519
(605) 256-0336
(605) 256-0760
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
SD868
SD
111NN0400X
Neurology Chiropractor
SD868
SD
171100000X
Acupuncturist
Primary
868
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7604360
—
SD
Enumeration date
06/26/2007
Last updated
07/24/2018
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