Healthcare Provider Details

I. General information

NPI: 1255257473
Provider Name (Legal Business Name): NORTH KIN CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S MAIN ST
STANLEY ND
58784
US

IV. Provider business mailing address

2949 94TH ST NW
MOHALL ND
58761-9119
US

V. Phone/Fax

Practice location:
  • Phone: 701-800-0045
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. SUSAN ASHEIM
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 701-263-5206