Organization
MCBW CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C CHUPPE DC (OWNER)
(701) 663-3380
Entity
Organization
Contact information
Practice address
301 E MAIN ST, MANDAN, ND 58554-3332
(701) 663-3380
(701) 663-0083
Mailing address
301 E MAIN ST, MANDAN, ND 58554-3332
(701) 663-3380
(701) 663-0083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
527
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
662001
BCBS GROUP ID #
ND
01
—
DC7224
RAILROAD MEDICARE
ND
Enumeration date
11/01/2006
Last updated
03/17/2018
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