Individual provider · Type 1 NPI
Jackson Clay Shubin, DC
Chiropractor · Idaho Falls, ID
NPI number
1114745668
Active
Practice location
645 S. Woodruff Ave
Idaho Falls, ID 83401
Fax (208) 718-9847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-2387 (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 1114745668
Jackson Clay Shubin, DC's National Provider Identifier is 1114745668, issued on Oct 2, 2024. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 2, 2024.