Individual
DR. GWENDOLYN ANN VANDOOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
17 BUTTERCUP RD, HAILEY, ID 83333-5097
(208) 788-1863
Mailing address
17 BUTTERCUP RD, HAILEY, ID 83333-5097
(208) 788-1863
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
282720
OR
111N00000X
Chiropractor
CH00002501
WA
111N00000X
Chiropractor
Primary
CHIA866
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010028728
REGENCE BLUE SHIELD OF ID
ID
01
—
C8661
BLUE CROSS OF IDAHO
ID
Enumeration date
01/30/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us