Impact Chiropractic Center, Pllc
NPI #1740906148 in Fargo, North Dakota
Provider Information
- NPI Number
- 1740906148
- Entity Type
- Organization
- Organization Name
- Impact Chiropractic Center, Pllc
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Oct 17, 2022
- Last Updated
- Oct 17, 2022
Practice Location
- Address
- 250 25TH ST S STE B
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-6817
- Phone
- (701) 230-1825
Authorized Official
- Name
- DR. JOSHUA NATHAN JAEGER, DC
- Title
- OWNER
- Phone
- (701) 230-1825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Clinic/Center - Health Service — Health Service |
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