Provider Demographics
NPI:1851768501
Name:E-GROUP INC
Entity Type:Organization
Organization Name:E-GROUP INC
Other - Org Name:APEX CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:ESQUIBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-852-5290
Mailing Address - Street 1:1500 21ST AVE NW STE 105
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-0867
Mailing Address - Country:US
Mailing Address - Phone:701-852-5290
Mailing Address - Fax:
Practice Address - Street 1:1500 21ST AVE NW
Practice Address - Street 2:SUITE 105
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703
Practice Address - Country:US
Practice Address - Phone:701-852-5290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1473361Medicaid