Provider Demographics
NPI:1922182872
Name:INSPIRED CHIROPRACTIC, PROF. LLC
Entity Type:Organization
Organization Name:INSPIRED CHIROPRACTIC, PROF. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-330-4100
Mailing Address - Street 1:224 N PHILLIPS AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-6063
Mailing Address - Country:US
Mailing Address - Phone:605-330-4100
Mailing Address - Fax:605-330-4101
Practice Address - Street 1:224 N PHILLIPS AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-6063
Practice Address - Country:US
Practice Address - Phone:605-330-4100
Practice Address - Fax:605-330-4101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1047111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty