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NPI Code Detail

MEDICARE: NATURAL HEALTH CHIROPRACTIC

MEDICARE: NATURAL HEALTH CHIROPRACTIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor870SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10005986OTHERSDBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447211560
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATURAL HEALTH CHIROPRACTIC
Provider Business Mailing Address
First Line : 3675 STURGIS RD
Second Line :
City : RAPID CITY
State : SD
Zip : 57702
Country : US
Telephone Number : 605-388-0073
Fax Number : 605-388-3620
Provider Business Practice Location Address
First Line : 3675 STURGIS RD
Second Line :
City : RAPID CITY
State : SD
Zip : 57702
Country : US
Telephone Number : 605-388-0073
Fax Number : 605-388-3620
Authorized Official
Title or Position : CHIROPRACTOR OWNER
Name : DR. VICKI COLLEEN KOEBERNICK
Credential : DC
Telephone Number : 605-388-0073
Provider Enumeration Date : 03/29/2006
Last Update Date : 01/25/2008

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Directions to “NATURAL HEALTH CHIROPRACTIC ” Practice Location

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