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NPI Code Detail

MEDICARE: ADVANCED CHIROPRACTIC PC

MEDICARE: ADVANCED CHIROPRACTIC PC
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
1111N00000XChiropractor949SD

General Provider Information

NPI Number : 1578626370
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CHIROPRACTIC PC
Provider Business Mailing Address
First Line : 1122 JACKSON BLVD
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-4335
Country : US
Telephone Number : 605-388-0406
Fax Number : 605-718-1211
Provider Business Practice Location Address
First Line : 1122 JACKSON BLVD
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-4335
Country : US
Telephone Number : 605-388-0406
Fax Number : 605-718-1211
Authorized Official
Title or Position : OWNER
Name : DR. JEFFREY MICHAEL HOCK
Credential : DC
Telephone Number : 605-388-0406
Provider Enumeration Date : 12/19/2006
Last Update Date : 08/22/2020

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Directions to “ADVANCED CHIROPRACTIC PC ” Practice Location

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