Provider Demographics
NPI:1932521283
Name:VOLK, CLARISSA K (DC)
Entity type:Individual
Prefix:
First Name:CLARISSA
Middle Name:K
Last Name:VOLK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:ND
Mailing Address - Zip Code:58573-0225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:307 MAIN ST
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:ND
Practice Address - Zip Code:58573-7142
Practice Address - Country:US
Practice Address - Phone:701-336-2280
Practice Address - Fax:701-336-2281
Is Sole Proprietor?:No
Enumeration Date:2014-01-06
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1249111N00000X
ND962111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor