Provider Demographics
NPI:1306923644
Name:B.K. SPINE CARE, INC.
Entity type:Organization
Organization Name:B.K. SPINE CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:AALAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-298-0065
Mailing Address - Street 1:2631 12TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-8741
Mailing Address - Country:US
Mailing Address - Phone:701-298-0065
Mailing Address - Fax:701-298-0066
Practice Address - Street 1:2631 12TH AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-8741
Practice Address - Country:US
Practice Address - Phone:701-298-0065
Practice Address - Fax:701-298-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND26502OtherBCBS OF ND PROVIDER #
ND51016Medicaid
ND26502OtherBCBS OF ND PROVIDER #