Kevin N Bjorlie is a Chiropractor in Fargo, North Dakota. Kevin N Bjorlie practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kevin N Bjorlie is 1467599084. The last update date is 2021-12-09.
Kevin N Bjorlie's current location address is 1383 21st Ave N, Fargo, North Dakota. You can contact this provider via phone number 7012358050 and fax number 7012983738. The mailing address for Kevin N Bjorlie is 1383 21st Ave N, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin N Bjorlie |
|---|---|
| Address | 1383 21st Ave N, Fargo, North Dakota |
| Phone Number | 7012358050 |
| Fax Number | 7012983738 |
| Sole Proprietor | N |
| Credentials | D.C |
NPI Number Detail
| NPI Number | 1467599084 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2021-12-09 |
Provider Mailing Address Detail
| Address | 1383 21st Ave N |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 58102 |
| Phone Number | 7012358050 |
| Fax Number | 7012983738 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | ND478 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4Z836BJ | MN | BS OF MN | |
| 18684 | ND | -- | |
| 22168 | ND | BS OF ND |
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What is the unique 10-digit identification code issued to Kevin N Bjorlie by the Centers for Medicare & Medicaid Services?
The Kevin N Bjorlie has been assigned the NPI (National Provider Identifier) 1467599084 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kevin N Bjorlie?
The Kevin N Bjorlie is situated at 1383 21St Ave N, in the city of Fargo, state of ND, with the zip code 58102.
What is Kevin N Bjorlie's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin N Bjorlie is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467599084 to Kevin N Bjorlie?
The Centers for Medicare & Medicaid Services originally issued the 1467599084 to Kevin N Bjorlie on 2007-01-31.
As of what date were the details related to Kevin N Bjorlie most recently updated or revised?
The information pertaining to Kevin N Bjorlie, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-09.