Organization
HOMETOWN WELLNESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDEE JOY COLEMAN D.C. (DOCTOR OF CHIROPRACTIC)
(701) 878-4300
Entity
Organization
Contact information
Practice address
725 MAIN ST, HEBRON, ND 58638-7056
(701) 878-4300
(701) 878-4300
Mailing address
PO BOX 31, HEBRON, ND 58638-0031
(701) 878-4300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
826
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902059926
INDIVIDUAL NPI NUMBER
ND
01
—
N716881
INDIVIDUAL PTAN NUMBER
ND
Enumeration date
12/17/2013
Last updated
12/17/2013
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