Individual
DR. JEFFREY MAX WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
151 N 4TH AVE, STE A, POCATELLO, ID 83201-6300
(208) 637-2225
(208) 258-7389
Mailing address
151 N 4TH AVE, STE A, POCATELLO, ID 83201-6300
(208) 637-2225
(208) 258-7389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1473
ID
111NR0400X
Rehabilitation Chiropractor
CHIA-1473
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679854491
—
ID
Enumeration date
02/15/2011
Last updated
04/24/2023
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