Provider Demographics
NPI:1770766362
Name:W G PAAPE
Entity type:Organization
Organization Name:W G PAAPE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:PAAPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-258-0300
Mailing Address - Street 1:433 E BISMARCK EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-6500
Mailing Address - Country:US
Mailing Address - Phone:701-258-0300
Mailing Address - Fax:701-258-0301
Practice Address - Street 1:433 E BISMARCK EXPY
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-6500
Practice Address - Country:US
Practice Address - Phone:701-258-0300
Practice Address - Fax:701-258-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDT66798OtherUPIN
ND11485Medicaid
ND1152001OtherBLUE SHIELD ND
NDN71087Medicare PIN