DR. MICHAEL D JACKLITCH (NPI# 1477674794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477674794 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D JACKLITCH |
| Credential | D.C. |
| Practice Address |
320 Dakota Ave Wahpeton ND 58075-4515 |
| Practice Telephone | 7016425600 |
| Practice Fax Number | 7016428354 |
| Mailing Telephone | 7016425600 |
| Mailing Fax Number | 7016428354 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 1381 | MN | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 351 | ND | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS MN | 90330JA | 01 |
| ND | 013374 | 05 | |
| MN | 141827100 | 05 |
| Street Address |
320 DAKOTA AVE |
| City | WAHPETON |
| State | ND |
| Zip Code | 58075-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861745838 | Benedictine Living Community of Wahpeton | Skilled Nursing Facility | 711 14th Avenue North, Wahpeton, ND 58075 | 2012-10-16 |
| 1538385844 | Michelle Catherine Stach | Physical Therapy Assistant | 1307 4 Ave North, Wahpeton, ND 58075 | 2007-04-17 |
| 1881717122 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 1348 15th Av N, Wahpeton, ND 58075 | 2007-04-10 |
| 1972626216 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 821 Western Rd, Wahpeton, ND 58075 | 2007-04-10 |
| 1700908589 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 348 14th St N, Wahpeton, ND 58075 | 2007-04-04 |
| 1275626053 | Richland County | Public Health or Welfare | 413 3rd Avenue North, Wahpeton, ND 58075 | 2006-10-02 |
| 1962503896 | Brian James Quamme | Dentist | 910 16th Ave N, Wahpeton, ND 58075 | 2006-09-25 |
| 1083720114 | Judith Kay Schmidt | Dentist | 2005 Woodland Drive, Wahpeton, ND 58075 | 2006-08-22 |
| 1891240354 | Concept Dentistry PC | Dentist | 1999 4th St N, Wahpeton, ND 58075 | 2016-08-24 |
| 1255704318 | Mandy Naumann | Physical Therapist | 332 2nd Ave N, Wahpeton, ND 58075 | 2015-11-10 |
| Find all providers in zip 58075 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986881 | Healing Arts Chiropractic, PC | Chiropractor | 709 Dakota Ave Ste B, Wahpeton, ND 58075-4333 | 2019-08-09 |
| 1033288154 | Robb Quincy Dohman | Chiropractor | 505 Dakota Ave, Wahpeton, ND 58075-4414 | 2006-11-06 |
| 1427041029 | David M Cook | Chiropractor | 103 9th St N, Wahpeton, ND 58075-4311 | 2005-08-30 |
| 1609258482 | Robb Q Dohman Ltd | Chiropractor | 505 Dakota Ave, Wahpeton, ND 58075-4414 | 2015-06-29 |
| 1801135850 | Jessica Ann Bakken Paschke | Chiropractor | 505 Dakota Ave, Wahpeton, ND 58075-4414 | 2013-02-12 |
| 1427171636 | Valley Spine Center, Inc. | Chiropractor | 319 11th St N, Wahpeton, ND 58075-4111 | 2007-04-10 |
| 1619041670 | Hornstein Family Chiropractic, Ltd | Chiropractor | 505 Dakota Ave, Wahpeton, ND 58075-4414 | 2006-11-20 |
| 1780758847 | Andrea Hornstein | Chiropractor | 505 Dakota Ave, Wahpeton, ND 58075-4414 | 2006-11-20 |
| 1093737066 | Cook Chiropractic Clinic P.C. | Chiropractor | 103 9th St N, Ste. 1, Wahpeton, ND 58075-4311 | 2006-07-25 |
| 1528052917 | James R Cook | Chiropractor | 103 9th St N, Wahpeton, ND 58075-4311 | 2005-08-31 |
| Find all providers in WAHPETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.