Organization
WEISS CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL CHARLES WEISS DC (OWNER)
(701) 237-5517
Entity
Organization
Contact information
Practice address
1360 10TH ST N, FARGO, ND 58102-2502
(701) 237-5517
(701) 237-3262
Mailing address
1360 10TH ST N, FARGO, ND 58102-2502
(701) 237-5517
(701) 237-3262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00557001
BLUE CROSS BLUE SHIELD
ND
05
—
17036
—
ND
01
—
91198WE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
01/29/2007
Last updated
01/13/2011
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