Healthcare Provider Details

I. General information

NPI: 1790457521
Provider Name (Legal Business Name): HEALING ARTS CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
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: 701-451-9070
  • Fax:
Mailing address:
  • Phone: 701-970-2080
  • Fax: 701-970-2079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KEVIN GORDON PAAPE
Title or Position: PRESIDENT
Credential: DC
Phone: 701-451-9070