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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

NPI # 1053595223
LBN Legal business name MARK W PEWE
Authorized official LISA VAD - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/24/2007
Last updated 12/24/2007 - About 18 years ago
Identifiers
ND License # 415
ND Medicaid 10276
ND Medicaid 14716
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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