MEDICARE: A. SCHLAGER CHIROPRACTIC CLINIC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1982829768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A. SCHLAGER CHIROPRACTIC CLINIC

Provider Business Mailing Address
First Line	:	2303 S WASHINGTON ST
Second Line	:	SUITE I
City	:	GRAND FORKS
State	:	ND
Zip	:	58201-6316
Country	:	US
Telephone Number	:	701-775-8462
Fax Number	:	701-775-0452

Provider Business Practice Location Address
First Line	:	2303 S WASHINGTON ST
Second Line	:	SUITE I
City	:	GRAND FORKS
State	:	ND
Zip	:	58201-6316
Country	:	US
Telephone Number	:	701-775-8462
Fax Number	:	701-775-0452

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. TODD ALLEN SCHLAGER
Credential	:	D.C.
Telephone Number	:	701-775-8462

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	08/22/2020

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