Crosby Chiropractic Clinic
Organization Active NPI Chiropractor · Crosby, ND
NPI 1710156237 · NPPES record last updated May 2, 2014
Key facts
- NPI
- 1710156237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 741 (ND)
- Legal business name
- CROSBY CHIROPRACTIC CLINIC
- Practice address
- 206 N Main St # 7
Crosby, ND 58730-3000 - Phone
- (701) 965-3222
- Fax
- (701) 965-3222
- NPI assigned
- Feb 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Kami Vyjo Wehrman, DC
- Title
- President
- Phone
- (701) 965-3222
Practitioners 1
-
Kami Vyjo Wehrman, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060313000127 | ND | Part B Supplier - Clinic/Group Practice | 8527075852 |
Receives reassigned benefits from 1 practitioner Practice locations: Crosby, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 741 | ND | Yes |
Addresses
Primary practice location
206 N Main St # 7
Crosby, ND 58730-3000
Mailing address
PO Box 7
Crosby, ND 58730-0007
Phone (701) 965-3222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13708 | Medicaid | ND |
Other providers in Crosby, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.