Individual
DR. JAMES M. JARDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
400 HWY 55, HORSESHOE BEND, ID 83629-9015
(208) 866-8962
(208) 793-4040
Mailing address
PO BOX 554, HORSESHOE BEND, ID 83629-0554
(208) 866-8962
(208) 793-4040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
894
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
PRACTICE
ID
Enumeration date
02/18/2008
Last updated
02/18/2008
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