Organization · Type 2 NPI
Haycock Chiropractic PC
Chiropractor · Maridian, ID
NPI number
1073689618
Active
Practice location
1773 S Millenium Way
Maridian, ID 83642-1511
Fax (208) 855-2689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
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 1073689618
Haycock Chiropractic PC's National Provider Identifier is 1073689618, issued on Nov 27, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Maridian, ID. The record was last updated on Aug 22, 2020.