Healthcare Provider Details

I. General information

NPI: 1730198748
Provider Name (Legal Business Name): SMITH CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 4TH AVE SE
HILLSBORO ND
58045-4905
US

IV. Provider business mailing address

322 4TH AVE SE
HILLSBORO ND
58045-4905
US

V. Phone/Fax

Practice location:
  • Phone: 701-636-4606
  • Fax:
Mailing address:
  • Phone: 701-636-4606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AIMEE LYNNE SMITH
Title or Position: PRESIDENT/OWNER
Credential: D.C.
Phone: 701-636-4606