Gerald D Staker in Idaho Falls - Chiropractor

Gerald D Staker - NPI 1891884276

Gerald D Staker is a Chiropractor in Idaho Falls, Idaho. Gerald D Staker practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gerald D Staker is 1891884276. The last update date is 2007-07-09.

Gerald D Staker's current location address is 976 John Adams Pkwy, Idaho Falls, Idaho. You can contact this provider via phone number 2085225546 and fax number 2085224777. The mailing address for Gerald D Staker is 976 John Adams Pkwy, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald D Staker
Address 976 John Adams Pkwy, Idaho Falls, Idaho
Phone Number 2085225546
Fax Number 2085224777
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1891884276
Provider Enumeration Date 2006-10-12
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 976 John Adams Pkwy
City Idaho Falls
State Idaho (ID)
Post Code 834014049
Phone Number 2085225546
Fax Number 2085224777

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CHIA-706
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C-706-9 ID BLUE CROSS INSURANCE

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FAQs about Gerald D Staker

What is the unique identifier code issued to Gerald D Staker by the Centers for Medicare & Medicaid Services (CMS)?

The Gerald D Staker has been assigned the NPI (National Provider Identifier) 1891884276. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Gerald D Staker?

The Gerald D Staker is physically situated at 976 John Adams Pkwy, in the city of Idaho Falls, state of ID, with the postal code 834014049.

What is Gerald D Staker's area of expertise and its corresponding taxonomy classification?

The Gerald D Staker's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1891884276 to Gerald D Staker?

The Centers for Medicare & Medicaid Services assigned the 1891884276 to Gerald D Staker on 2006-10-12.

As of what date were the details pertaining to Gerald D Staker last refreshed?

The information related to the Gerald D Staker, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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