Provider Demographics
NPI:1295881779
Name:JANKORD, DEAN FRANCIS (DC)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:FRANCIS
Last Name:JANKORD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 W 280TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW PRAGUE
Mailing Address - State:MN
Mailing Address - Zip Code:56071-9105
Mailing Address - Country:US
Mailing Address - Phone:952-758-5116
Mailing Address - Fax:952-890-3207
Practice Address - Street 1:12002 COUNTY ROAD 11
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-3016
Practice Address - Country:US
Practice Address - Phone:952-890-3141
Practice Address - Fax:952-890-3207
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN002435111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor