Provider Demographics
NPI:1134761695
Name:AHLERS FAMILY CHIROPRACTIC, PC
Entity type:Organization
Organization Name:AHLERS FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHLERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-573-1213
Mailing Address - Street 1:201 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:FLANDREAU
Mailing Address - State:SD
Mailing Address - Zip Code:57028-1224
Mailing Address - Country:US
Mailing Address - Phone:605-573-1213
Mailing Address - Fax:605-573-1215
Practice Address - Street 1:201 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:FLANDREAU
Practice Address - State:SD
Practice Address - Zip Code:57028-1224
Practice Address - Country:US
Practice Address - Phone:605-573-1213
Practice Address - Fax:605-573-1215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1281OtherSTATE LICENSE
SD1497111637OtherNPI