Individual
DR. JEREMY W HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
445 W CHUBBUCK RD, STE A, CHUBBUCK, ID 83202-2308
(208) 637-8800
Mailing address
4880 TRENT, CHUBBUCK, ID 83202
(208) 637-1442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-927
ID
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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