Jongeward, Brian Vance

Jongeward, Brian Vance is an individual health care provider with primary practice located at 2812 17Th Ave South Suite C, Grand Forks ND 58201-4048. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is his primary health care specialty. Jongeward, Brian Vance can be contacted via phone (701) 775-0223.

Contact Information

Primary practice address
2812 17Th Ave South Suite C Grand Forks ND 58201-4048
Phone: (701) 775-0223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 611 North Dakota
Chiropractic Providers / Rehabilitation 111NR0400X 611 North Dakota

Profile Details

NPI number 1376620831
LBN Legal business name Jongeward, Brian Vance
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376620831 NPPES
North Dakota MEDICAID 18728

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