Elemental Wellness & Chiropractic

NPI 1073805065 - Chiropractor - 111N00000X

NPI Details
NPI 1073805065
Enumeration Date 05/09/2011
Last Updated 05/09/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JUSTIN JAMES JUSTIN
Position PRESIDENT
Phone (208) 322-6260
Fax
Practice Location
8382 W USTICK RD
STE 200
BOISE ID, 83704-5986, US
Phone (208) 322-6260
Fax
Business Location
8382 W USTICK RD
STE 200
BOISE ID, 83704-5986, US
Phone (208) 322-6260
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Idaho
License Number CHIA-1344
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According to our database, Elemental Wellness & Chiropractic NPI is 1073805065, taxonomy code is 111N00000X and license number is CHIA-1344, license state is located at Idaho. Elemental Wellness & Chiropractic physically located at 8382 W Ustick Rd, Boise ID, 83704-5986. NPI Number 1033115704 has the healthcare provider type.

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1073805065 NPI number is provided on an as is basis without warranty of any kind. 1073805065 is maintained by the National Plan & Provider Enumeration System. The contents of Elemental Wellness & Chiropractic are for informational purposes only.