Individual provider · Type 1 NPI
Cory Scot Hawkins, DC
Chiropractor · Boise, ID
NPI number
1245353614
Active
Practice location
7750 Crestwood Dr, Ste 1
Boise, ID 83704-3000
Fax (208) 376-5636
Mailing address
8474 W Sun Disk St
Boise, ID 83714-2509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-738 (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 1245353614
Cory Scot Hawkins, DC's National Provider Identifier is 1245353614, issued on Apr 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.