Organization
ONE LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN GIB HEIN D.C. (DOCTOR OF CHIROPRACTIC)
(208) 459-6141
Entity
Organization
Contact information
Practice address
317 HAPPY DAY BLVD, SUITE 170, CALDWELL, ID 83607-8115
(208) 459-6141
Mailing address
317 HAPPY DAY BLVD, SUITE 170, CALDWELL, ID 83607-8115
(208) 459-6141
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1342
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808321800
—
ID
Enumeration date
08/24/2009
Last updated
08/25/2009
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