NPI 1003133364

Life Energy Chiropractic & Wellness, P.A.

Organisation Chiropractor Fargo, ND

Practice location

Address: 4955 17th Ave S Suite 108, Fargo, ND 58103-3372
Phone: (701) 356-5433
Fax: (701) 364-2675

Authorised official

Name: Joshua Nathan Jaeger
Title: Owner/President
Phone: (701) 356-5433

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 857 (ND)

Other Chiropractor providers in North Dakota →

Registry record

NPI: 1003133364
Entity type: Organization
NPI issued: 27 Apr 2010
Record last updated: 27 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.