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

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-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.