DR. JACKIE JOHNSRUD, DC

Chiropractor

Active Individual
NPI: 1164797072

Practice Address

306 MAIN ST
Williston, ND 58801

Phone: (701) 580-4912

Specialties

Specialty Code Primary License
Chiropractor 111N00000X Yes 865 (ND)

Frequently Asked Questions

NPI 1164797072 is the National Provider Identifier for DR. JACKIE JOHNSRUD, DC, a Chiropractor provider located in Williston, ND. This NPI was enumerated on March 12, 2012.
DR. JACKIE JOHNSRUD, DC practices at 306 MAIN ST, Williston, ND 58801.

Quick Facts

NPI
1164797072
Type
Individual
Enumerated
Mar 12, 2012
Last Updated
Mar 12, 2012

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