Organization
PURPOSE DRIVEN CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMAI JOY HAFER D.C. (PRESIDENT)
(208) 938-9548
Entity
Organization
Contact information
Practice address
435 E SHORE DR, STE 110, EAGLE, ID 83616-5753
(208) 938-9548
(208) 938-9494
Mailing address
435 E SHORE DR, STE 110, EAGLE, ID 83616-5753
(208) 938-9548
(208) 938-9494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1301
ID
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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