Individual
DR. RONALD HENZE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13999 W WAINWRIGHT DR STE 201, BOISE, ID 83713-1969
(208) 939-0775
(208) 575-6114
Mailing address
13999 W WAINWRIGHT DR STE 201, BOISE, ID 83713-1969
(208) 939-0775
(208) 575-6114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1614
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTPID012211
—
ID
Enumeration date
08/21/2014
Last updated
11/05/2018
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