Individual
DR. PAUL CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
311 E COEUR D ALENE AVE STE B, COEUR D ALENE, ID 83814-4965
(208) 991-0229
Mailing address
311 E COEUR D ALENE AVE STE B, COEUR D ALENE, ID 83814-4965
(208) 991-0229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHAI-1870
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHAI-1870
STATE OF IDAHO CHIROPRACTIC BOARD
ID
Enumeration date
10/03/2018
Last updated
10/03/2018
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