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Jerome Family Chiropractic

Chiropractor in Jerome, ID. Organization (NPI-2).

NPI number1407367196
StatusActive
Last updated in NPPESOct 20, 2017

Details

NPI
1407367196
Entity type
Organization (NPI-2)
Legal business name
Jerome Family Chiropractic
Organization subpart
No
Enumeration date
Oct 20, 2017
Last updated
Oct 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCHIA-1795IDYes

Practice location

1100 N Lincoln Ave
Jerome, ID 83338-1856

Phone 208-324-6656

Mailing address

182 Falls Ave W Apt G208
Twin Falls, ID 83301-4028

Phone 208-670-0642

Authorized official

Alan Hanson
Doctor Of Chiropractic
2086700642

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