Individual
DR. HAROLD EUGENE SOULSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1246 OAKLEY AVENUE, BURLEY, ID 83318
(208) 678-3893
(208) 678-7374
Mailing address
1246 OAKLEY AVENUE, BURLEY, ID 83318
(208) 678-3893
(208) 678-7374
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C321
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010008029
REGENCE BLUE SHIELD
ID
01
—
C3217
BLUE CROSS
ID
Enumeration date
01/29/2007
Last updated
07/08/2007
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