Organization
HEALTH AND WELLNESS CHIROPRACTIC
Active
Other names
Health & Wellness Chiropractic Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD A DORVAL D.C. (PRESIDENT)
(701) 483-6325
Entity
Organization
Contact information
Practice address
448 21ST ST W STE D2, DICKINSON, ND 58601-2647
(701) 483-6325
Mailing address
448 21ST ST W STE D2, DICKINSON, ND 58601-2647
(701) 483-6325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
738 AND 742
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06241-001
BLUE CROSS BLUE SHIELD ND
ND
05
—
13483
—
ND
Enumeration date
03/26/2007
Last updated
01/14/2013
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