Provider Demographics
NPI:1396824017
Name:FICEK CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:FICEK CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.C./SEC/TREAS.
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIPAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEL-FICEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-483-8824
Mailing Address - Street 1:562 1/2 12TH ST. W
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-3509
Mailing Address - Country:US
Mailing Address - Phone:701-483-8824
Mailing Address - Fax:701-483-1443
Practice Address - Street 1:562 1/2 12TH ST. W
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-3509
Practice Address - Country:US
Practice Address - Phone:701-483-8824
Practice Address - Fax:701-483-1443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND639111N00000X
ND638111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDDG2247OtherRAILROAD MEDICARE
ND10391Medicaid
ND14226Medicaid
NDN71049Medicare PIN
ND14226Medicaid
NDDG2247OtherRAILROAD MEDICARE