Performance Chiropractic Pllc

LBN: Performance Chiropractic Pllc
Performance Chiropractic Pllc is an health care organization with primary practice located at 4350 S Washington St Suite 100, Grand Forks ND 58201-7184. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Performance Chiropractic Pllc can be contacted via phone (701) 732-2888, or through Hallgren, Stacy Lane via phone (701) 732-2888.

Contact Information

Primary practice address
4350 S Washington St Suite 100 Grand Forks ND 58201-7184
Phone: (701) 732-2888
Fax: (701) 732-2711
Website:
Map and Directions
Authorized official contact:
Name: Hallgren, Stacy Lane DC, CCEP, CST
Phone: (701) 732-2888

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 798 North Dakota

Profile Details

NPI number 1720237258
LBN Legal business name Performance Chiropractic Pllc
DBA Doing business as
Authorized official Hallgren, Stacy Lane DC, CCEP, CST
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2008
Last updated Jan 9th, 2015 - about 10 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 1720237258 NPPES
North Dakota MEDICAID 14609
North Dakota MEDICAID 1407036627
North Dakota Other 713023

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