Individual
MR. GEOFFREY DAVID GREENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
229 PINE ST, SANDPOINT, ID 83864-1336
(208) 255-1108
(208) 265-5696
Mailing address
123 S THIRD AVE, STE 6, SANDPOINT, ID 83864-1358
(208) 255-1108
(208) 265-5696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1062
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1377457
PTAN
ID
01
—
C4066
BILING # BLUE CROSS
ID
Enumeration date
02/05/2007
Last updated
11/21/2016
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