Individual
JAMES R ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1150 W STATE ST, SUITE 220, BOISE, ID 83702-5327
(208) 384-9070
(208) 384-9057
Mailing address
1150 W STATE ST, SUITE 220, BOISE, ID 83702-5327
(208) 384-9070
(208) 384-9057
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1058
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806980000
—
ID
Enumeration date
08/17/2006
Last updated
12/27/2011
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