Full Life Chiropractic, Pa

NPI 1740472844 - Chiropractor - 111N00000X

NPI Details
NPI 1740472844
Enumeration Date 08/13/2007
Last Updated 12/20/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JONATHAN ERIC JONATHAN
Position OWNER / PRESIDENT
Phone (208) 895-0858
Fax (208) 895-0561
Practice Location
2300 W EVEREST LN
SUITE #175
MERIDIAN ID, 83646-5925, US
Phone (208) 895-0858
Fax (208) 895-0561
Business Location
2300 W EVEREST LN
SUITE #175
MERIDIAN ID, 83646-5925, US
Phone (208) 895-0858
Fax (208) 895-0561
Toxanomy
Taxonomy Code 111N00000X
License State Idaho
License Number C9495
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According to our database, Full Life Chiropractic, Pa NPI is 1740472844, taxonomy code is 111N00000X and license number is C9495, license state is located at Idaho. Full Life Chiropractic, Pa physically located at 2300 W Everest Ln, Meridian ID, 83646-5925. NPI Number 1033115704 has the healthcare provider type.

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1740472844 NPI number is provided on an as is basis without warranty of any kind. 1740472844 is maintained by the National Plan & Provider Enumeration System. The contents of Full Life Chiropractic, Pa are for informational purposes only.