Jeremy J Boethin is a Chiropractor in Star, Idaho. Jeremy J Boethin practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeremy J Boethin is 1740314442. The last update date is 2023-06-02.
Jeremy J Boethin's current location address is 12545 W Goldcrest St, Star, Idaho. You can contact this provider via phone number 5414801555. The mailing address for Jeremy J Boethin is 12545 W Goldcrest St, Star, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy J Boethin |
|---|---|
| Address | 12545 W Goldcrest St, Star, Idaho |
| Phone Number | 5414801555 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1740314442 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2023-06-02 |
Provider Mailing Address Detail
| Address | 12545 W Goldcrest St |
|---|---|
| City | Star |
| State | Idaho (ID) |
| Post Code | 836696513 |
| Phone Number | 5414801555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 273407 |
|
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 |
|
Post Comment/ Review Below
What is the Jeremy J Boethin's unique identification number?
The Jeremy J Boethin has been assigned the NPI (National Provider Identifier) Number 1740314442 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jeremy J Boethin located?
The Jeremy J Boethin is located at 12545 W Goldcrest St, Star, ID 836696513.
What is Jeremy J Boethin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeremy J Boethin is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
When did the Jeremy J Boethin receive its 1740314442?
The Jeremy J Boethin was issued its 1740314442 on 2007-03-15, which is the date when the organization was assigned this unique identifier.
When was the Jeremy J Boethin's information last updated?
The Jeremy J Boethin's information was last updated on 2023-06-02.