Organization
BACK IN HEALTH CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNNIS JEFFREY COCKRUM D.C. (PRESIDENT)
(208) 665-7158
Entity
Organization
Contact information
Practice address
1801 LINCOLN WAY, SUITE 4, COEUR D ALENE, ID 83814-2547
(208) 665-7158
(208) 664-2225
Mailing address
1801 LINCOLN WAY, SUITE 4, COEUR D ALENE, ID 83814-2547
(208) 665-7158
(208) 664-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-970
ID
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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