Ofisa, Shaloam
Ofisa, Shaloam is an individual health care provider with primary practice located at 1800 Flandro Dr Suite 130, Pocatello ID 83202. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ofisa, Shaloam can be contacted via phone (208) 221-2973.Contact Information
Primary practice address
1800 Flandro Dr Suite 130
Pocatello ID 83202
Phone: (208) 221-2973
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-1603 | Idaho |
Profile Details
| NPI number | 1952713166 |
|---|---|
| LBN Legal business name | Ofisa, Shaloam |
| Credentials | D.C., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2014 |
| Last updated | Jul 10th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952713166 | NPPES |
| Idaho | MEDICAID | 1952713166 |
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