Individual provider · Type 1 NPI
Jeremy J. Boethin, DC
Chiropractor · Star, ID
NPI number
1740314442
Active
Practice location
12545 W Goldcrest St
Star, ID 83669-6513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 273407 (OR) |
| Chiropractor Primary | 111N00000X | CHIA-2246 (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.
Another provider at this address
Other chiropractor providers in Star
About NPI 1740314442
Jeremy J. Boethin, DC's National Provider Identifier is 1740314442, issued on Mar 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Star, ID. The record was last updated on Jun 2, 2023.