Organization
JEROME FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN HANSON DC (DOCTOR OF CHIROPRACTIC)
(208) 670-0642
Entity
Organization
Contact information
Practice address
1100 N LINCOLN AVE, JEROME, ID 83338-1856
(208) 324-6656
Mailing address
182 FALLS AVE W APT G208, TWIN FALLS, ID 83301-4028
(208) 670-0642
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1795
ID
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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