Provider Demographics
NPI:1992926935
Name:SWENSON, SHEILA (DC)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:SWENSON
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 1:1726 S WASHINGTON ST
Mailing Address - Street 2:SUITE 79
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6370
Mailing Address - Country:US
Mailing Address - Phone:701-738-0990
Mailing Address - Fax:701-738-0991
Practice Address - Street 1:1726 S WASHINGTON ST
Practice Address - Street 2:SUITE 79
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6370
Practice Address - Country:US
Practice Address - Phone:701-738-0990
Practice Address - Fax:701-738-0991
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4889111N00000X
ND838111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor