Individual
DR. JASON VAN SICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3652 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
(208) 541-0413
(208) 881-2111
Mailing address
1410 E 17TH ST, IDAHO FALLS, ID 83404-6269
(208) 524-6402
(208) 524-6402
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1529
ID
Other
Enumeration date
01/16/2013
Last updated
10/13/2022
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