Organization
BEAR RIVER CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED SHELTON DC (MANAGER)
(208) 547-4518
Entity
Organization
Contact information
Practice address
45 W CENTER ST, SODA SPRINGS, ID 83276-1530
(208) 547-4518
(208) 547-4555
Mailing address
45 W CENTER ST, SODA SPRINGS, ID 83276-1530
(208) 547-4518
(208) 547-4555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1284
ID
Other
Enumeration date
05/19/2009
Last updated
06/09/2009
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