Provider Demographics
NPI:1801964481
Name:FAMILY HEALTH CHIROPRACTIC, PC
Entity type:Organization
Organization Name:FAMILY HEALTH CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BADINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-258-7047
Mailing Address - Street 1:117 E CENTURY AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0412
Mailing Address - Country:US
Mailing Address - Phone:701-258-7047
Mailing Address - Fax:701-223-9940
Practice Address - Street 1:117 E CENTURY AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0412
Practice Address - Country:US
Practice Address - Phone:701-258-7047
Practice Address - Fax:701-223-9940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty