Provider Demographics
NPI:1154844769
Name:COMPLETE HEALTH PC
Entity Type:Organization
Organization Name:COMPLETE HEALTH PC
Other - Org Name:DAKOTA BACK AND NECK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TANNER
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIZEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-774-3635
Mailing Address - Street 1:20 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-6015
Mailing Address - Country:US
Mailing Address - Phone:701-774-3635
Mailing Address - Fax:701-774-3632
Practice Address - Street 1:20 W BROADWAY
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-6015
Practice Address - Country:US
Practice Address - Phone:701-774-3635
Practice Address - Fax:701-774-3632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND925111N00000X
ND1052111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty