Williams Chiro Med INC
Chiropractor in Boise, ID. Organization (NPI-2).
NPI number1083668099
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1083668099
- Entity type
- Organization (NPI-2)
- Legal business name
- Williams Chiro Med INC
- Organization subpart
- No
- Enumeration date
- May 22, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIA714 | ID | Yes |
Practice location
1961 Broadway AvenueBoise, ID 83706
Phone 208-344-1851 · Fax 208-344-3245
Mailing address
1961 Broadway AvenueBoise, ID 83706
Phone 208-344-1851 · Fax 208-344-3245
Authorized official
Michael Forrest Williams
Dc President
2083441851
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