Provider Demographics
NPI:1245470343
Name:PLAINS CHIROPRACTIC & ACUPUNCTURE PC
Entity type:Organization
Organization Name:PLAINS CHIROPRACTIC & ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:NEWMAN
Authorized Official - Last Name:MUTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-361-8482
Mailing Address - Street 1:3750 32ND AVE S
Mailing Address - Street 2:SUITE #103
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-5998
Mailing Address - Country:US
Mailing Address - Phone:701-361-8482
Mailing Address - Fax:
Practice Address - Street 1:3750 32ND AVE S
Practice Address - Street 2:SUITE #103
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-5998
Practice Address - Country:US
Practice Address - Phone:701-361-8482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND827111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty