Organization
CHIROPRACTIC ARTS CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN EDWARDS REDINGTON D.C. (PRESIDENT)
(701) 852-0158
Entity
Organization
Contact information
Practice address
1001 20TH AVE SW, MINOT, ND 58701-6446
(701) 852-0158
(701) 852-5630
Mailing address
1001 20TH AVE SW, MINOT, ND 58701-6446
(701) 852-0158
(701) 852-5630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1003
SD
111N00000X
Chiropractor
Primary
367
ND
111N00000X
Chiropractor
4475
MN
111N00000X
Chiropractor
716
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10468
—
ND
05
—
10810
—
ND
01
—
1214-001
BCBS GROUP
ND
05
—
12206
—
ND
01
—
711180
GROUP PROVIDER #
—
Enumeration date
03/08/2007
Last updated
08/22/2020
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