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Contact Information

MARK W PEWE
909 11 ST E
BOTTINEAU, ND58318
 Phone: 701-228-2275
 Fax: 701-228-3080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MARK W PEWE · (Female)

NPI # 1053595223
Status Active
Credentials
Entity Individual
Enumeration date 12/24/2007
Last updated 12/24/2007 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • ND License # 415
  • ND Medicaid 10276
  • ND Medicaid 14716
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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