Organization
DALLMAN CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DALLMAN (OWNER)
(701) 775-3215
Entity
Organization
Contact information
Practice address
1395 S COLUMBIA RD, SUITE B, GRAND FORKS, ND 58201-4054
(701) 775-3215
Mailing address
1395 S COLUMBIA RD, SUITE B, GRAND FORKS, ND 58201-4054
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
575
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11995
—
ND
01
—
5C116DA
BLUE CROSS BLUE SHIELD
MN
01
—
DAL14199
BLUE CROSS BLUE SHIELD
ND
Enumeration date
10/29/2009
Last updated
10/29/2009
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