Individual provider · Type 1 NPI

Jason Van Sickle, DC

Chiropractor · Idaho Falls, ID

NPI number 1386981900 Active

Practice location

3652 Washington Pkwy
Idaho Falls, ID 83404-7573

Call (208) 541-0413 Map

Fax (208) 881-2111

Mailing address

1410 E 17th St
Idaho Falls, ID 83404-6269

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-1529 (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 1386981900

Jason Van Sickle, DC's National Provider Identifier is 1386981900, issued on Jan 16, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 13, 2022.