Individual
DANIEL MICHAEL PEWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
288 HIGHWAY 16 STE 101, EMMETT, ID 83617-5082
(208) 365-2225
(208) 365-2225
Mailing address
288 HIGHWAY 16, SUITE 101, EMMETT, ID 83617-2973
(208) 365-2225
(208) 365-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-724
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002713900
—
ID
Enumeration date
07/27/2006
Last updated
12/07/2023
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