Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERAD ROBERT BLUDORN, DC

Active Sole Proprietor

Chiropractor · LAKE NORDEN, SD

Registration Details

NPI Number: 1629076435
Provider Type: Individual
Gender: Male
NPI Issued: Jul 14, 2005 (20.771866756484 yrs)
Last Updated: Nov 17, 2011
License: 1025 (SD)
Sole Proprietor: Yes

Practice Information

Address: 505 MAIN AVE

LAKE NORDEN, SD, 572480252
Browse SD providers · Browse ZIP 57248
Phone: 6057853900
Fax: 6057853908
Primary Specialty: Chiropractor
111N00000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.