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Contact Information

ALISA T MITSKOG, DC
319 11TH ST N
WAHPETON, ND58075-4111
 Phone: 701-642-6480
 Fax: 701-642-6011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ALISA T MITSKOG · (Female)

NPI # 1578598587
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 07/11/2006
Last updated 07/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 500
  • MN Medicaid 922509900
  • ND Medicaid 17175
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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