Dr. Jason Van Sickle, D.C.
Chiropractor in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1386981900
StatusActive
Last updated in NPPESOct 13, 2022
Details
- NPI
- 1386981900
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Van Sickle
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2013
- Certification date
- Oct 13, 2022
- Last updated
- Oct 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1529 | ID | Yes |
Practice location
3652 Washington PkwyIdaho Falls, ID 83404-7573
Phone 208-541-0413 · Fax 208-881-2111
Mailing address
1410 E 17th StIdaho Falls, ID 83404-6269
Phone 208-524-6402 · Fax 208-524-6402
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All 70 Chiropractor providers in Idaho Falls · All 3,646 providers in Idaho Falls
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