Organization
ALL AMERICAN CHIROPRACTIC HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSIE DEAN SMITH DC (CHIROPRACTOR)
(208) 232-7558
Entity
Organization
Contact information
Practice address
115 S. 15TH, SUITE C, POCATELLO, ID 83201-4068
(208) 232-7558
(208) 232-7549
Mailing address
115 S. 15TH, SUITE C, POCATELLO, ID 83201-4068
(208) 232-7558
(208) 232-7549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-809
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8056219
—
ID
01
—
P00410313
RR PTAN
ID
Enumeration date
03/18/2014
Last updated
12/26/2018
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