Davis, Darrell Wade
Davis, Darrell Wade is an individual health care provider with primary practice located at 1155 Yellowstone Ave Ste. F, Pocatello ID 83201-4369. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Davis, Darrell Wade can be contacted via phone (208) 238-0002.Contact Information
Primary practice address
1155 Yellowstone Ave Ste. F
Pocatello ID 83201-4369
Phone: (208) 238-0002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA716 | Idaho |
Profile Details
| NPI number | 1023143237 |
|---|---|
| LBN Legal business name | Davis, Darrell Wade |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Apr 27th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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