J. B. Egbert Chiropractic LLC

NPI #1245519693 in Rexburg, Idaho

Provider Information

NPI Number: 1245519693
Entity Type: Organization
Organization Name: J. B. Egbert Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 16, 2011
Last Updated: Aug 24, 2011

Practice Location

Address: 1134 BOND AVE
City: Rexburg
State: Idaho
ZIP Code: 83440-3582
Phone: (208) 356-8818

Authorized Official

Name: JONATHAN B. EGBERT
Title: OWNER
Phone: (208) 356-8818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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