Provider Demographics
NPI:1447618046
Name:ALBRECHT, MARQELLE NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARQELLE
Middle Name:NICOLE
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 WESTRAC DR S
Mailing Address - Street 2:STE 102
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-2385
Mailing Address - Country:US
Mailing Address - Phone:605-290-3200
Mailing Address - Fax:
Practice Address - Street 1:1121 WESTRAC DR. SUITE 102
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103
Practice Address - Country:US
Practice Address - Phone:701-297-8191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-10
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor