is a Chiropractor in Harrisburg, South Dakota. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1558411793. The last update date is .
's current location address is 303 W Willow Street, Harrisburg, South Dakota. You can contact this provider via phone number 6057677463 and fax number 6057677464. The mailing address for is 303 W Willow Street, Harrisburg, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 303 W Willow Street, Harrisburg, South Dakota |
| Phone Number | 6057677463 |
| Fax Number | 6057677464 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1558411793 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 303 W Willow Street |
|---|---|
| City | Harrisburg |
| State | South Dakota (SD) |
| Post Code | 570322004 |
| Phone Number | 6057677463 |
| Fax Number | 6057677464 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1076 |
|
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 |
|---|---|---|---|
| 699380 | SD | ACN GROUP PROVIDER NUMBER | |
| C1076 | SD | DAKOTACARE | |
| 250332 | SD | MIDLANDS CHOICE | |
| 7604410 | SD | -- | |
| 15174 | SD | AVERA HEALTH PLANS | |
| 49966 | SD | SIOUX VALLEY HEALTH PLAN | |
| 4994167 | SD | WELLMARK |
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