| R&r Chiropractic Pc | |
|
4903 Pumice Loop Bismarck ND 58503 | |
| (701) 720-8903 | |
| Not Available |
| Full Name | R&r Chiropractic Pc |
|---|---|
| Speciality | Chiropractor |
| Location | 4903 Pumice Loop, Bismarck, North Dakota |
| Authorized Official Name and Position | Daniel Ernest Anderson (OWNER) |
| Authorized Official Contact | 7017208903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R&r Chiropractic Pc 4903 Pumice Loop Bismarck ND 58503-6158 Ph: (701) 720-8903 | R&r Chiropractic Pc 4903 Pumice Loop Bismarck ND 58503 Ph: (701) 720-8903 |
| NPI Number | 1194095331 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 08/15/2018 |
| Medicare PECOS PAC ID | 4789843541 |
|---|---|
| Medicare Enrollment ID | O20120314000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194095331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 849 (North Dakota) | Secondary |
| 111N00000X | Chiropractor | 849 (North Dakota) | Primary |
| Provider Name | Daniel E Anderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578892303 PECOS PAC ID: 9234271438 Enrollment ID: I20100127000139 |
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