Provider Demographics
NPI:1942551981
Name:ACCELERATE HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:ACCELERATE HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:KRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-425-0700
Mailing Address - Street 1:120 N 3RD ST
Mailing Address - Street 2:SUITE 25
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-3860
Mailing Address - Country:US
Mailing Address - Phone:701-425-0700
Mailing Address - Fax:701-751-0836
Practice Address - Street 1:120 N 3RD ST
Practice Address - Street 2:SUITE 25
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-3860
Practice Address - Country:US
Practice Address - Phone:701-425-0700
Practice Address - Fax:701-751-0836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-01
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND917111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty