Provider Demographics
NPI:1598762684
Name:HEALTHFIRST CHIROPRACTIC OF MILBANK
Entity Type:Organization
Organization Name:HEALTHFIRST CHIROPRACTIC OF MILBANK
Other - Org Name:PRO HEALTH AND WELLNESS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-432-9561
Mailing Address - Street 1:PO BOX 230
Mailing Address - Street 2:
Mailing Address - City:MILBANK
Mailing Address - State:SD
Mailing Address - Zip Code:57252-0230
Mailing Address - Country:US
Mailing Address - Phone:605-432-9561
Mailing Address - Fax:605-432-9562
Practice Address - Street 1:1203 E 4TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MILBANK
Practice Address - State:SD
Practice Address - Zip Code:57252-1543
Practice Address - Country:US
Practice Address - Phone:605-432-9561
Practice Address - Fax:605-432-9562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9202986OtherGROUP # DAKOTACARE
SD0040599OtherGROUP # WELLMARK
SD0040600OtherWELLMARK - DR. BERGQUIST
MN085M9PROtherGROUP #
MN086M0BEOtherBCBS - DR. BERGQUIST
SD7603903Medicaid
SDC767OtherDAKOTACARE - DR. BERGQUIS
SD7601680Medicaid
SD7601680Medicaid
SD9202986OtherGROUP # DAKOTACARE
SD0040600OtherWELLMARK - DR. BERGQUIST
SDC767OtherDAKOTACARE - DR. BERGQUIS