Individual provider · Type 1 NPI
Shawn A. Rudkin, DC CCEP
Chiropractor · Parma, ID
NPI number
1063587194
Active
Practice location
101 E Grove Avenue
Parma, ID 83660-0154
Mailing address
PO Box 154
Parma, ID 83660-0154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA857 (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.
About NPI 1063587194
Shawn A. Rudkin, DC CCEP's National Provider Identifier is 1063587194, issued on Nov 22, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Parma, ID. The record was last updated on May 13, 2008.