Provider Demographics
NPI:1386889426
Name:GRINAKER, JACOB FINN (DC)
Entity type:Individual
Prefix:DR
First Name:JACOB
Middle Name:FINN
Last Name:GRINAKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3120 25TH ST S
Mailing Address - Street 2:SUITE V
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-6110
Mailing Address - Country:US
Mailing Address - Phone:701-893-4200
Mailing Address - Fax:701-893-4201
Practice Address - Street 1:3120 25TH ST S
Practice Address - Street 2:SUITE V
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6110
Practice Address - Country:US
Practice Address - Phone:701-893-4200
Practice Address - Fax:701-893-4201
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor