=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750151700
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | COLE KARCZ DC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/02/2024
-----------------------------------------------------
Last Update Date | 01/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3306 SHEYENNE ST STE 210
-----------------------------------------------------
City | WEST FARGO
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58078-7211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-970-2080
-----------------------------------------------------
Fax | 701-970-2079
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3306 SHEYENNE ST
-----------------------------------------------------
City | WEST FARGO
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58078-7211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-970-2080
-----------------------------------------------------
Fax | 701-970-2079
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 1232
-----------------------------------------------------
License Number State | ND
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 7165
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------