Provider Demographics
NPI:1043676257
Name:HOCHHALTER CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:HOCHHALTER CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:KERRY
Authorized Official - Last Name:HOCHHALTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-952-2225
Mailing Address - Street 1:118 2ND ST NW
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-3117
Mailing Address - Country:US
Mailing Address - Phone:701-952-2225
Mailing Address - Fax:
Practice Address - Street 1:118 2ND STREET NW
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-3117
Practice Address - Country:US
Practice Address - Phone:701-952-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1020261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center