Provider Demographics
NPI:1891853172
Name:ESLINGER CHIROPRACTIC HEALTH CENTER
Entity Type:Organization
Organization Name:ESLINGER CHIROPRACTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:MONROE
Authorized Official - Last Name:ESLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-221-2480
Mailing Address - Street 1:1301 EAST FRONT AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504
Mailing Address - Country:US
Mailing Address - Phone:701-221-2480
Mailing Address - Fax:
Practice Address - Street 1:1301 EAST FRONT AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504
Practice Address - Country:US
Practice Address - Phone:701-221-2480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND615111N00000X
ND624111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
14450Medicare ID - Type Unspecified
U59985Medicare UPIN
13806Medicare ID - Type Unspecified
U63322Medicare UPIN