Organization
EAGLE CHIROPRACTIC PC
Active
Organization
EAGLE CHIROPRACTIC PC
Active
Parent organization
SHAWN NORD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWN NORD
Authorized official
SHERRY LYNN NORD (SECRETARY)
(208) 939-9195
Entity
Organization
Contact information
Practice address
5337 S STATE ST, EAGLE, ID 83616-4313
(208) 939-9195
(208) 939-4686
Mailing address
5337 W STATE ST, EAGLE, ID 83616-4313
(208) 939-9195
(208) 939-4686
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
C561
ID
Other
Enumeration date
09/25/2006
Last updated
10/11/2019
Update your record
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