Organization
MCCALL CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GUY JEPPE III (OWNER)
(208) 634-8271
Entity
Organization
Contact information
Practice address
301 E PARK ST, MCCALL, ID 83638-3803
(086) 348-2712
(208) 634-3526
Mailing address
PO BOX 931, MCCALL, ID 83638
(208) 634-8271
(208) 634-8271
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA914
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010028703
REGENCE BL SHIELD
ID
01
—
C1773
BLUE CROSS
ID
Enumeration date
12/05/2006
Last updated
02/28/2024
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