Van Dam Chiropractic, Pc in Fargo - Point Of Service

Van Dam Chiropractic, Pc - NPI 1205038023

Van Dam Chiropractic, Pc is a Point Of Service in Fargo, North Dakota. Van Dam Chiropractic, Pc practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Van Dam Chiropractic, Pc is 1205038023. The last update date is 2019-05-28.

Van Dam Chiropractic, Pc's current location address is 1203 28th St S Ste B, Fargo, North Dakota. You can contact this provider via phone number 7015325320 and fax number 7012802915. The mailing address for Van Dam Chiropractic, Pc is 1203 28th St S Ste B, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Van Dam Chiropractic, Pc
Address 1203 28th St S Ste B, Fargo, North Dakota
Phone Number 7015325320
Fax Number 7012802915
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Van Dam A Scott
Credentials D.C.
Telephone Number 7012802599

NPI Number Detail

NPI Number 1205038023
Provider Enumeration Date 2007-06-04
Last Updated Date 2019-05-28

Provider Mailing Address Detail

Address 1203 28th St S Ste B
City Fargo
State North Dakota (ND)
Post Code 581038711
Phone Number 7015325320
Fax Number 7012802915

Provider's Primary Taxonomy Detail

Speciality Point Of Service
Taxonomy 305S00000X
Licence No 747
Definition:
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1750343877 ND IND PROVIDER

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FAQs about Van Dam Chiropractic, Pc

What is the unique 10-digit identification code issued to Van Dam Chiropractic, Pc by the Centers for Medicare & Medicaid Services?

The Van Dam Chiropractic, Pc has been assigned the NPI (National Provider Identifier) 1205038023 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 Van Dam Chiropractic, Pc?

The Van Dam Chiropractic, Pc is situated at 1203 28Th St S Ste B, in the city of Fargo, state of ND, with the zip code 581038711.

What is the Van Dam Chiropractic, Pc's specialty and taxonomy code?

The Van Dam Chiropractic, Pc's specialty is Point Of Service, and the corresponding taxonomy code is 305S00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1205038023 to Van Dam Chiropractic, Pc?

The Van Dam Chiropractic, Pc received its 1205038023 assignment from the Centers for Medicare & Medicaid Services on 2007-06-04.

As of what date were the details pertaining to Van Dam Chiropractic, Pc last refreshed?

The information related to the Van Dam Chiropractic, Pc, including its address, specialty, and other relevant details, was last updated on 2019-05-28.

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