Organization
SHEYENNE VALLEY CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI K SANDNESS RIEGER DC (SEC TRES CO OWNER)
(701) 683-5337
Entity
Organization
Contact information
Practice address
15 11 AVENUE WEST, LISBON, ND 58054-0722
(701) 683-5337
(701) 683-0096
Mailing address
15 11 AVENUE WEST, LISBON, ND 58054-0722
(701) 683-5337
(701) 683-0096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
533 553
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12687 12688
BLUE SHIELD OF ND
ND
Enumeration date
06/18/2007
Last updated
04/20/2008
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