Omdalen Chiropractic Clinic Pc

LBN: Omdalen Chiropractic Clinic Pc
Omdalen Chiropractic Clinic Pc is an health care organization with primary practice located at 45 1St Ave Se , Mayville ND 58257. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Omdalen Chiropractic Clinic Pc can be contacted via phone (701) 786-4024, or through Omdalen, Scott Edward via phone (701) 786-4024.

Contact Information

Primary practice address
45 1St Ave Se Mayville ND 58257
Phone: (701) 786-4024
Fax: (701) 786-4034
Website:
Map and Directions
Authorized official contact:
Name: Omdalen, Scott Edward Doctor of Chiropractic (DC)
Phone: (701) 786-4024

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1346365079
LBN Legal business name Omdalen Chiropractic Clinic Pc
DBA Doing business as
Authorized official Omdalen, Scott Edward Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346365079 NPPES
North Dakota MEDICAID 16235
North Dakota Other 01210001

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