Individual
DR. SHAWN TIMOTHY HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5357 27TH ST S, APT 103, FARGO, ND 58104-7155
(701) 739-0662
Mailing address
4610 AMBER VALLEY PKWY S, STE B, FARGO, ND 58104-8621
(701) 364-9355
(701) 364-4032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
897
ND
Other
Enumeration date
02/20/2012
Last updated
03/23/2017
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