| Dallman Chiropractic Pc | |
|
1395 S Columbia Rd Suite B Grand Forks ND 58201-4054 | |
| (701) 775-3215 | |
| Not Available |
| Full Name | Dallman Chiropractic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1395 S Columbia Rd, Grand Forks, North Dakota |
| Authorized Official Name and Position | John Dallman (OWNER) |
| Authorized Official Contact | 7017753215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallman Chiropractic Pc 1395 S Columbia Rd Suite B Grand Forks ND 58201-4054 Ph: () - | Dallman Chiropractic Pc 1395 S Columbia Rd Suite B Grand Forks ND 58201-4054 Ph: (701) 775-3215 |
| NPI Number | 1831425685 |
|---|---|
| Provider Enumeration Date | 10/29/2009 |
| Last Update Date | 10/29/2009 |
| Medicare PECOS PAC ID | 9739229147 |
|---|---|
| Medicare Enrollment ID | O20091216000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831425685 | NPI | - | NPPES |
| DAL14199 | Other | ND | BLUE CROSS BLUE SHIELD |
| 5C116DA | Other | MN | BLUE CROSS BLUE SHIELD |
| 11995 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 575 (North Dakota) | Primary |
| Provider Name | John E Dallman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437142486 PECOS PAC ID: 2567502974 Enrollment ID: I20091216000112 |
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