Organization
VAN SICKLE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON VAN SICKLE DC (OWNER)
(208) 781-1334
Entity
Organization
Contact information
Practice address
1100 N COLE RD, BOISE, ID 83704-8644
(208) 375-3500
(208) 375-3716
Mailing address
1100 N COLE RD, BOISE, ID 83704-8644
(208) 375-3500
(208) 375-3716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1529
ID
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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