Provider Demographics
NPI:1487045571
Name:JORDE CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:JORDE CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:JORDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-224-9008
Mailing Address - Street 1:2921 HOMESTEAD DR
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0163
Mailing Address - Country:US
Mailing Address - Phone:701-224-9008
Mailing Address - Fax:701-224-8204
Practice Address - Street 1:2921 HOMESTEAD DR
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0163
Practice Address - Country:US
Practice Address - Phone:701-224-9008
Practice Address - Fax:701-224-8204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND467111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty