Search › North Dakota › 175F00000X
Terra Provost, N.D
NPI 1558793034 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1203 28th St S
Fargo, ND 58103 - Phone
- (218) 303-9003
- Fax
- (888) 651-4713
- Organisation at this address
- Van Dam Chiropractic, Pc
Origin Chiropractic Physicians, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 4251 S Higuera St Ste 300, San Luis Obispo, CA
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Also registered as
- 175F00000X
175F00000X - Licence states on file
- AZ, CA, ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota