Organization
JORGENSEN CHIROPRACTIC, PC
Active
Other names
Red River Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W JORGENSEN DC (OWNER)
(701) 235-2700
Entity
Organization
Contact information
Practice address
250 25TH ST S STE B, FARGO, ND 58103-6817
(701) 235-2700
(701) 478-4220
Mailing address
3411 FIECHTNER DR S, FARGO, ND 58103-2361
(701) 235-2700
(701) 235-0147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
476
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01194001
BS ND
ND
05
—
17387
—
ND
Enumeration date
03/05/2008
Last updated
10/07/2020
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