Dr. Stacy Lane Hallgren, D.C., C.C.E.P., CST

Chiropractor in Grand Forks, ND. Individual provider (NPI-1).

NPI number1407036627

StatusActive

Last updated in NPPESAug 20, 2008

Details

NPI: 1407036627
Entity type: Individual (NPI-1)
Name: Dr. Stacy Lane Hallgren
Credential: D.C., C.C.E.P., CST
Sex: Female
Sole proprietor: No
Enumeration date: Nov 5, 2007
Last updated: Aug 20, 2008

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CHIROPRACTIC
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
111N00000X	Chiropractor	798	ND	Yes

Practice location

4350 S Washington St
Suite 100
Grand Forks, ND 58201-7184

Phone 701-732-2888 · Fax 701-732-2711

Mailing address

1772 22nd St Ne
Emerado, ND 58228-9788

Phone 701-594-8497

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Other Chiropractor providers in Grand Forks, ND

All 52 Chiropractor providers in Grand Forks · All 2,948 providers in Grand Forks

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