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
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