CHUBBUCK CHIROPRACTIC PA (NPI# 1508993189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508993189 |
| Entity Type | Organization |
| Organization Name | CHUBBUCK CHIROPRACTIC PA |
| Practice Address |
445 W Chubbuck Rd Ste A Chubbuck ID 83202-2308 |
| Practice Telephone | 2086378800 |
| Mailing Telephone | 2086378800 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEREMY W. HALE (PRESIDENT) |
| Authorized Official Telephone | 2086378800 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
445 W CHUBBUCK RD STE A |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972624781 | Brandi L Cavner | Physical Therapist | 445 W Chubbuck Rd, Chubbuck, ID 83202-5069 | 2007-04-02 |
| 1265569842 | Jeremy W Hale | Chiropractor | 445 W Chubbuck Rd, Ste A, Chubbuck, ID 83202-2308 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679854491 | Streamline Chiropractic Pllc | Chiropractor | 246 E Chubbuck Rd, Suite A, Chubbuck, ID 83202-1965 | 2011-09-07 |
| 1659678456 | Jeffrey Max Williams | Chiropractor | 246 E Chubbuck Rd Ste A, Chubbuck, ID 83202-1965 | 2011-02-15 |
| 1174544688 | Grant Dono Finn | Chiropractor | 134 W Chubbuck Rd, Suite A, Chubbuck, ID 83202-2315 | 2006-07-21 |
| 1760413256 | Evans Chiropractic, Pa | Chiropractor | 190 W Burnside, D, Chubbuck, ID 83202 | 2006-07-05 |
| 1508138066 | Josh D Gneiting | Chiropractor | 210 W Burnside Ave, Ste D, Chubbuck, ID 83202-4916 | 2012-01-30 |
| 1265569842 | Jeremy W Hale | Chiropractor | 445 W Chubbuck Rd, Ste A, Chubbuck, ID 83202-2308 | 2007-02-28 |
| 1861436727 | Nathan Evans | Chiropractor | 190 W Burnside Ave, Ste. D, Chubbuck, ID 83202-2404 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625488 | Cv Chiropractic Pllc | Chiropractor | 1201 E Gilbert Ave, Coeur D Alene, ID 83815-4958 | 2020-10-08 |
| 1780290981 | East Ridge Chiropractic, Pllc | Chiropractor | 1320 S Ammon Rd, Ammon, ID 83406-5810 | 2020-09-22 |
| 1124638143 | Madison J Wills | Chiropractor | 9196 W Emerald St Ste 120, Boise, ID 83704-8003 | 2020-08-04 |
| 1376161646 | Erena Martina Lanza | Chiropractor | 1224 1st St S Ste 304, Nampa, ID 83651-3963 | 2020-07-13 |
| 1285252619 | Kynan Tarnowski | Chiropractor | 16150 N High Desert St Ste 112, Nampa, ID 83687-5567 | 2020-07-13 |
| 1962027433 | Convergence Chiropractic Company | Chiropractor | 404 E Parkcenter Blvd Ste 170, Boise, ID 83706-7564 | 2020-06-10 |
| 1790300598 | Vancorp LLC | Chiropractor | 270 W Georgia Ave Ste 110, Nampa, ID 83686-2835 | 2020-06-08 |
| 1811519838 | Cody Wilhelm | Chiropractor | 1505 Madrona St N # 900c, Twin Falls, ID 83301-8318 | 2020-05-13 |
| 1467074559 | Amber R Dunford | Chiropractor | 3030 Glenbrook Dr, Hailey, ID 83333-7602 | 2020-05-11 |
| 1366071649 | Kevin Allen | Chiropractor | 237 N 2nd E Ste 106, Rexburg, ID 83440-4977 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.