Bruce John Grandstaff in Coeur D Alene - Chiropractor

Bruce John Grandstaff - NPI 1730155334

Bruce John Grandstaff is a Chiropractor in Coeur D Alene, Idaho. Bruce John Grandstaff practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bruce John Grandstaff is 1730155334. The last update date is 2007-07-08.

Bruce John Grandstaff's current location address is 7905 N Meadowlark Way, Coeur D Alene, Idaho. You can contact this provider via phone number 2087726015 and fax number 2087726016. The mailing address for Bruce John Grandstaff is 7905 N Meadowlark Way, Coeur D Alene, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce John Grandstaff
Address 7905 N Meadowlark Way, Coeur D Alene, Idaho
Phone Number 2087726015
Fax Number 2087726016
Sole Proprietor X
Credentials DC

NPI Number Detail

NPI Number 1730155334
Provider Enumeration Date 2006-02-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7905 N Meadowlark Way
City Coeur D Alene
State Idaho (ID)
Post Code 83815
Phone Number 2087726015
Fax Number 2087726016

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CHIA 668
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Bruce John Grandstaff

What is the unique identifier code issued to Bruce John Grandstaff by the Centers for Medicare & Medicaid Services (CMS)?

The Bruce John Grandstaff has been assigned the NPI (National Provider Identifier) 1730155334. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Bruce John Grandstaff's facilities are situated?

The facilities of Bruce John Grandstaff are physically located at the following address: 7905 N Meadowlark Way, Coeur D Alene, ID, 83815.

What is Bruce John Grandstaff's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bruce John Grandstaff's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1730155334 to Bruce John Grandstaff?

The Bruce John Grandstaff received its 1730155334 assignment from the Centers for Medicare & Medicaid Services on 2006-02-24.

When was the information regarding Bruce John Grandstaff most recently updated?

The details pertaining to the Bruce John Grandstaff, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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