Individual
DR. JACOB HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2362 N OLD MILL LOOP, COEUR D ALENE, ID 83814-4954
(208) 209-5551
Mailing address
5719 N KAYLA CT, COEUR D ALENE, ID 83815-8365
(480) 707-2023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3288
TN
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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