Healthcare Provider Details

I. General information

NPI: 1699954545
Provider Name (Legal Business Name): NORTHWOOD CHIROPRACTIC P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2007
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 WASHINGTON AVE
NORTHWOOD ND
58267-4300
US

IV. Provider business mailing address

PO BOX 442
NORTHWOOD ND
58267-0442
US

V. Phone/Fax

Practice location:
  • Phone: 701-587-6300
  • Fax:
Mailing address:
  • Phone: 701-587-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number752
License Number StateND

VIII. Authorized Official

Name: DR. ERIK J THORSGARD
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 701-587-6300