Organization
ASCEND CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON VAN SICKLE DC (DOCTOR/OWNER)
(208) 781-1334
Entity
Organization
Contact information
Practice address
3652 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
(208) 781-1334
Mailing address
3652 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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