Healthcare Provider Details

I. General information

NPI: 1891452942
Provider Name (Legal Business Name): SUSAN ASHEIM DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN PIFER DC

II. Dates (important events)

Enumeration Date: 11/23/2021
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
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: 701-263-5206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1158
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: