Sirucek, Dax
Sirucek, Dax is an individual health care provider with primary practice located at 3080 E Gentry Way 110, Meridian ID 83642-3544. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Sirucek, Dax can be contacted via phone (208) 345-7262.Contact Information
Primary practice address
3080 E Gentry Way 110
Meridian ID 83642-3544
Phone: (208) 345-7262
Fax: (208) 343-1953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | CHIA-1276 | Idaho |
Profile Details
| NPI number | 1669654935 |
|---|---|
| LBN Legal business name | Sirucek, Dax |
| Credentials | DC, DACNB |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2007 |
| Last updated | Jun 21st, 2011 - about 15 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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