Provider Demographics
NPI:1205548195
Name:WALK-IN CHIROPRACTIC
Entity type:Organization
Organization Name:WALK-IN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOZEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-205-1696
Mailing Address - Street 1:4265 45TH ST S STE 103
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-4309
Mailing Address - Country:US
Mailing Address - Phone:701-205-1696
Mailing Address - Fax:701-936-6765
Practice Address - Street 1:4265 45TH ST S STE 103
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-4309
Practice Address - Country:US
Practice Address - Phone:701-205-1696
Practice Address - Fax:701-936-6765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty