Provider Demographics
NPI:1073713665
Name:DAKOTA CHIROPRACTIC OF SIOUXLAND
Entity Type:Organization
Organization Name:DAKOTA CHIROPRACTIC OF SIOUXLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:POHLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-780-3500
Mailing Address - Street 1:1248 RIVER DR
Mailing Address - Street 2:
Mailing Address - City:NORTH SIOUX CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57049-3009
Mailing Address - Country:US
Mailing Address - Phone:605-780-3500
Mailing Address - Fax:605-780-3501
Practice Address - Street 1:1248 RIVER DR
Practice Address - Street 2:
Practice Address - City:NORTH SIOUX CITY
Practice Address - State:SD
Practice Address - Zip Code:57049-3009
Practice Address - Country:US
Practice Address - Phone:605-780-3500
Practice Address - Fax:605-780-3501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty