Healthcare Provider Details

I. General information

NPI: 1245244953
Provider Name (Legal Business Name): HEALTHFIRST CHIROPRACTIC OF BROOKINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 MAIN AVE
BROOKINGS SD
57006-1935
US

IV. Provider business mailing address

417 MAIN AVE
BROOKINGS SD
57006-1935
US

V. Phone/Fax

Practice location:
  • Phone: 605-692-0123
  • Fax: 605-692-6894
Mailing address:
  • Phone: 605-692-0123
  • Fax: 605-692-6894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALAN DAVID BERGQUIST
Title or Position: OWNER
Credential: DC
Phone: 605-692-0123