Provider Demographics
NPI:1043844582
Name:MOVING FORWARD CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:MOVING FORWARD CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DC
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-321-2832
Mailing Address - Street 1:2523 RAILROAD AVE SUITE 1
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501
Mailing Address - Country:US
Mailing Address - Phone:701-321-2832
Mailing Address - Fax:
Practice Address - Street 1:2523 RAILROAD AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-5042
Practice Address - Country:US
Practice Address - Phone:701-321-2832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty