Jonathan W Deitz, DC - Fargo, ND

Jonathan W Deitz, DC

Chiropractor in Fargo, North Dakota

NPI 1306961768

Jonathan W Deitz is a Chiropractor based in Fargo, ND. Jonathan W Deitz practices in Fargo, ND and has the professional credentials of DC. The NPI Number for Jonathan W Deitz is 1306961768 and holds a License No. 682 (North Dakota).

The current practice location address for Jonathan W Deitz is 4325 13Th Ave S, Fargo, ND and can be reached out via phone at 701-212-1419.

Location: 4325 13Th Ave S, Fargo, ND, 58103-3341

NPI Number

1306961768

Provider Name

Jonathan W Deitz

Credential

Provider Entity Type

Individual

Gender

Male

Address

4325 13Th Ave S, Fargo, ND, 58103-3341

Phone Number

701-212-1419

Fax Number

Provider Enumeration Date

03/21/2007

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
19091	01	ND	BCBS OF ND PROVIDER #
11334	05	ND

Address

4325 13Th Ave S

City

Fargo

State

North Dakota

Zip

58103-3341

Phone Number

701-212-1419

Fax Number

Address

4325 13Th Ave S

City

Fargo

State

North Dakota

Zip

58103-3341

Phone Number

701-212-1419

Fax Number

Type

Chiropractic Providers

Classification

Chiropractor

Speciality

Taxonomy

111N00000X

License No.

682 (North Dakota)

Definition

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.

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