Organization Name: | COMPLETE CHIROPRACTIC PC |
NPI Number: | 1154504967 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NATHAN PATRICK TURCK (OWNER) |
Mailing Address: | 101 N Main St Garrison |
State: | ND US |
Postal Code: | 58540 |
Phone Number: | 7014637808 |
Fax Number: | 7014637810 |
NPI Enumeration Date: | 12/14/2007 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |