Individual provider · Type 1 NPI
Freddie L. Sermon, DC
Chiropractor · Idaho Falls, ID
NPI number
1023166436
Active
Practice location
1880E 17th St
Idaho Falls, ID 83404-6468
Mailing address
777 Hoopes Ave K306
Idaho Falls, ID 83401-6093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH-679 (ID) |
Chiropractor: 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 interrelationship with other body systems.
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About NPI 1023166436
Freddie L. Sermon, DC's National Provider Identifier is 1023166436, issued on Jan 8, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 23, 2015.