Healthcare Provider Details

I. General information

NPI: 1487518395
Provider Name (Legal Business Name): LIFELONG WELLNESS & CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3306 SHEYENNE ST STE 210
WEST FARGO ND
58078-7211
US

IV. Provider business mailing address

3306 SHEYENNE ST STE 210
WEST FARGO ND
58078-7211
US

V. Phone/Fax

Practice location:
  • Phone: 701-970-2080
  • Fax:
Mailing address:
  • Phone: 701-970-2080
  • 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. COLE KARCZ
Title or Position: OWNER
Credential: DC
Phone: 262-412-4182