Organization
WI CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN PAUL HUMPHREY D.C. (OWNER)
(208) 440-7773
Entity
Organization
Contact information
Practice address
2447 S APPLE ST, SUITE #102, BOISE, ID 83706-5169
(208) 440-7773
Mailing address
2447 S APPLE ST, SUITE #102, BOISE, ID 83706-5169
(208) 440-7773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1496
ID
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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