Individual provider · Type 1 NPI
Sonny Radenic, DC
Chiropractor · Fargo, ND
NPI number
1548658487
Active
Practice location
4325 13th Ave S, Suite 5
Fargo, ND 58103-3341
Mailing address
2830 7th St W, Apt 306
West Fargo, ND 58078-6916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 6023 (MN) |
| Chiropractor Primary | 111N00000X | 1006 (ND) |
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.
Another provider at this address
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About NPI 1548658487
Sonny Radenic, DC's National Provider Identifier is 1548658487, issued on Dec 30, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fargo, ND. The record was last updated on Sep 2, 2015.