Pickman Chiropractic
Chiropractor in Meridian, ID. Organization (NPI-2).
NPI number1982147443
StatusActive
Last updated in NPPESNov 30, 2016
Details
- NPI
- 1982147443
- Entity type
- Organization (NPI-2)
- Legal business name
- Pickman Chiropractic
- Organization subpart
- No
- Enumeration date
- Nov 30, 2016
- Last updated
- Nov 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1742 | ID | Yes |
Other names
- Gonstead Spine And Wellness (Doing Business As)
Practice location
3085 E Magic View Dr Ste 180Meridian, ID 83642-3757
Phone 208-888-6077 · Fax 888-447-1415
Mailing address
3085 E Magic View Dr Ste 180Meridian, ID 83642-3757
Phone 208-888-6077 · Fax 888-447-1415
Authorized official
Brittany Glenn McQuilkin
Office Manager
2088886077
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