Organization
CLEARWATER CHIROPRACTIC & ACUPUNCTURE PA
Active
Other names
CCA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN JANE AUBUCHON R.N., D.C. (PRESIDENT)
(208) 798-5420
Entity
Organization
Contact information
Practice address
25040 BURROW LN, JULIAETTA, ID 83535-5004
(208) 305-5547
(208) 836-5755
Mailing address
25040 BURROW LN, JULIAETTA, ID 83535-5004
(208) 305-5547
(208) 836-5755
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA826
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8901
BLUE CROSS OF IDAHO
GA
Enumeration date
02/20/2008
Last updated
01/29/2025
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