Provider Demographics
NPI:1649638958
Name:HORIZON CHIROPRACTIC & WELLNESS PC
Entity type:Organization
Organization Name:HORIZON CHIROPRACTIC & WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDEE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FUNK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-595-6126
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:ND
Mailing Address - Zip Code:58638-0031
Mailing Address - Country:US
Mailing Address - Phone:701-595-6126
Mailing Address - Fax:
Practice Address - Street 1:4535 NORTHERN SKY DR.
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503
Practice Address - Country:US
Practice Address - Phone:701-595-6126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND826111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty