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Contact Information

DYNAMIC CHIROPRACTIC PROF LLC
310 E MAIN ST
PARKSTON, SD57366
 Phone: 605-928-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for DYNAMIC CHIROPRACTIC PROF LLC

NPI # 1255896072
LBN Legal business name DYNAMIC CHIROPRACTIC PROF LLC
Authorized official LINDSEY SIVERTSEN - (DOCTOR, MANAGER, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2019
Last updated 05/26/2019 - About 7 years ago
Identifiers
SD Medicaid 1154752640
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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