Organization
BODO CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ANNE DORN DC (OWNER)
(208) 342-7136
Entity
Organization
Contact information
Practice address
405 S 8TH ST STE 290, BOISE, ID 83702-7100
(208) 342-7136
Mailing address
405 S 8TH ST STE 290, BOISE, ID 83702-7100
(208) 342-7136
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1559
ID
111N00000X
Chiropractor
CHIA1560
ID
111NP0017X
Pediatric Chiropractor
CHIA1559
ID
Other
Enumeration date
09/24/2013
Last updated
03/15/2021
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