West Chiropractic Clinic PA
Chiropractor in Pocatello, ID. Organization (NPI-2).
NPI number1124157664
StatusActive
Last updated in NPPESJun 16, 2011
Details
- NPI
- 1124157664
- Entity type
- Organization (NPI-2)
- Legal business name
- West Chiropractic Clinic PA
- Organization subpart
- No
- Enumeration date
- Mar 2, 2007
- Last updated
- Jun 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIA940 | ID | Yes |
| 208D00000X | General Practice | – | ID | |
| 208100000X | Physical Medicine & Rehabilitation | – | ID | |
| 363L00000X | Nurse Practitioner | – | ID | |
| 111N00000X | Chiropractor | CHIA1460 | ID |
Other names
- The West Clinic (Doing Business As)
Practice location
1188 Call PlacePocatello, ID 83201
Phone 208-232-3216 · Fax 208-232-9412
Mailing address
1188 Call PlacePocatello, ID 83201
Phone 208-232-3216 · Fax 208-232-9412
Authorized official
Jason D West
Owner
2082323216
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