Provider Demographics
NPI:1801166889
Name:BRIDGES CHIROPRACTIC, INC
Entity type:Organization
Organization Name:BRIDGES CHIROPRACTIC, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-271-8160
Mailing Address - Street 1:5015 S WESTERN AVE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2642
Mailing Address - Country:US
Mailing Address - Phone:605-271-8160
Mailing Address - Fax:605-271-8162
Practice Address - Street 1:5015 S WESTERN AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2642
Practice Address - Country:US
Practice Address - Phone:605-271-8160
Practice Address - Fax:605-271-8162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1204111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty