Provider Demographics
NPI:1497785158
Name:WEHRMAN, KAMI VYJO (DC)
Entity Type:Individual
Prefix:DR
First Name:KAMI
Middle Name:VYJO
Last Name:WEHRMAN
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:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:ND
Mailing Address - Zip Code:58730-0007
Mailing Address - Country:US
Mailing Address - Phone:701-965-3222
Mailing Address - Fax:701-965-3222
Practice Address - Street 1:206 N MAIN ST # 7
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:ND
Practice Address - Zip Code:58730-3000
Practice Address - Country:US
Practice Address - Phone:701-965-3222
Practice Address - Fax:701-965-3222
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND741111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND12978Medicaid
ND24058OtherBLUE CROSS BLUE SHIELD
NDP00291630OtherRAILROAD MEDICARE
NDP00291630OtherRAILROAD MEDICARE
ND24058OtherBLUE CROSS BLUE SHIELD