Chubbuck Chiropractic PA

NPI #1508993189 in Chubbuck, Idaho

Provider Information

NPI Number: 1508993189
Entity Type: Organization
Organization Name: Chubbuck Chiropractic PA
Primary Specialty: Chiropractor
Enumeration Date: Feb 28, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 445 W CHUBBUCK RD
Address 2: STE A
City: Chubbuck
State: Idaho
ZIP Code: 83202-2308
Phone: (208) 637-8800

Authorized Official

Name: DR. JEREMY W. HALE, DC
Title: PRESIDENT
Phone: (208) 637-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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