Provider Demographics
NPI:1447642459
Name:CATHERINE J H BORUD DC
Entity type:Organization
Organization Name:CATHERINE J H BORUD DC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:JEAN HENGEL
Authorized Official - Last Name:BORUD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-367-2947
Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:
Mailing Address - City:DRAYTON
Mailing Address - State:ND
Mailing Address - Zip Code:58225-0251
Mailing Address - Country:US
Mailing Address - Phone:701-454-3555
Mailing Address - Fax:701-454-3377
Practice Address - Street 1:104 E HIGHWAY 66
Practice Address - Street 2:STE 4
Practice Address - City:DRAYTON
Practice Address - State:ND
Practice Address - Zip Code:58225-4804
Practice Address - Country:US
Practice Address - Phone:701-454-3555
Practice Address - Fax:701-454-3377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND920111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty