Provider Demographics
NPI:1932346285
Name:STRIVE CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:STRIVE CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:FINN
Authorized Official - Last Name:GRINAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-205-6726
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty