Provider Demographics
NPI:1932565595
Name:ALPHA CHIROPRACTIC PC
Entity Type:Organization
Organization Name:ALPHA CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-527-0257
Mailing Address - Street 1:125 SLATE DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-6174
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 SLATE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-6174
Practice Address - Country:US
Practice Address - Phone:701-751-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1021111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty