Wesley Aaron Bowman in Soda Springs - Chiropractor

Wesley Aaron Bowman - NPI 1154521409

Wesley Aaron Bowman is a Chiropractor in Soda Springs, Idaho. Wesley Aaron Bowman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Wesley Aaron Bowman is 1154521409. The last update date is 2007-07-24.

Wesley Aaron Bowman's current location address is 300 W 2nd S, Soda Springs, Idaho. You can contact this provider via phone number 2085474151 and fax number 2085474093. The mailing address for Wesley Aaron Bowman is 300 W 2nd S, Soda Springs, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Wesley Aaron Bowman
Address 300 W 2nd S, Soda Springs, Idaho
Phone Number 2085474151
Fax Number 2085474093
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1154521409
Provider Enumeration Date 2007-07-24
Last Updated Date 2007-07-24

Provider Mailing Address Detail

Address 300 W 2nd S
City Soda Springs
State Idaho (ID)
Post Code 832761515
Phone Number 2085474151
Fax Number 2085474093

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No C1255
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
C1255 ID STATE OF IDAHO LICENSE NU

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FAQs about Wesley Aaron Bowman

What is the unique identifier code issued to Wesley Aaron Bowman by the Centers for Medicare & Medicaid Services?

The Wesley Aaron Bowman has been assigned the NPI (National Provider Identifier) 1154521409. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Wesley Aaron Bowman is physically located?

The Wesley Aaron Bowman is physically situated at the following address: 300 W 2Nd S, Soda Springs, ID, 832761515.

What is Wesley Aaron Bowman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wesley Aaron Bowman's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

On what date did the Wesley Aaron Bowman receive the assignment of its 1154521409 from the Centers for Medicare & Medicaid Services?

The Wesley Aaron Bowman was issued its 1154521409 by the Centers for Medicare & Medicaid Services on 2007-07-24.

When was the information related to Wesley Aaron Bowman most recently updated or refreshed?

The details pertaining to the Wesley Aaron Bowman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-24.

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