Provider Demographics
NPI:1255986881
Name:HEALING ARTS CHIROPRACTIC, PC
Entity type:Organization
Organization Name:HEALING ARTS CHIROPRACTIC, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:PAAPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-451-9070
Mailing Address - Street 1:709 DAKOTA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:WAHPETON
Mailing Address - State:ND
Mailing Address - Zip Code:58075-4333
Mailing Address - Country:US
Mailing Address - Phone:701-866-6660
Mailing Address - Fax:
Practice Address - Street 1:709 DAKOTA AVE STE B
Practice Address - Street 2:
Practice Address - City:WAHPETON
Practice Address - State:ND
Practice Address - Zip Code:58075-4333
Practice Address - Country:US
Practice Address - Phone:701-866-6660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty