Individual
DR. JENNIFER LYNN SABOURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1411 32ND ST S, FARGO, ND 58103-6304
(701) 232-2738
(701) 241-4175
Mailing address
1220 2ND AVE S, MOORHEAD, MN 56560-2909
(218) 233-1188
(218) 287-1829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5028
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30608
BCBS ND
ND
01
—
350004042
MEDICARE PTAN
MN
01
—
719563
ACN
MN
01
—
76L01BE
BCBS MN
MN
05
—
871622000
—
MN
Enumeration date
12/05/2007
Last updated
01/31/2017
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