Organization
POKORNY CHIROPRACTIC CLINIC, LLC
Active
Parent organization
POKORNY CHIROPRACTIC CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
POKORNY CHIROPRACTIC CLINIC, LLC
Authorized official
MASON POKORNY DC (OWNER)
(701) 290-9888
Entity
Organization
Contact information
Practice address
2620 JACKSON BLVD, RAPID CITY, SD 57702-1502
(701) 290-9888
Mailing address
1035 3RD AVE W, DICKINSON, ND 58601-3802
(701) 225-9696
(701) 225-1976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
954
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463430
—
ND
Enumeration date
11/06/2017
Last updated
11/06/2017
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