Provider Demographics
NPI:1154504967
Name:COMPLETE CHIROPRACTIC PC
Entity Type:Organization
Organization Name:COMPLETE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:TURCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-463-7808
Mailing Address - Street 1:101 N MAIN ST
Mailing Address - Street 2:PO BOX 786
Mailing Address - City:GARRISON
Mailing Address - State:ND
Mailing Address - Zip Code:58540
Mailing Address - Country:US
Mailing Address - Phone:701-463-7808
Mailing Address - Fax:701-463-7810
Practice Address - Street 1:101 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:ND
Practice Address - Zip Code:58540
Practice Address - Country:US
Practice Address - Phone:701-463-7808
Practice Address - Fax:701-463-7810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND803261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service