Boethin, Jeremy J

Boethin, Jeremy J is an sole proprietor health care provider with primary practice located at 12545 W Goldcrest St , Star ID 83669-6513. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boethin, Jeremy J can be contacted via phone (541) 480-1555.

Contact Information

Primary practice address
12545 W Goldcrest St Star ID 83669-6513
Phone: (541) 480-1555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 273407 Oregon
Chiropractic Providers / Chiropractor 111N00000X CHIA-2246 Idaho

Profile Details

NPI number 1740314442
LBN Legal business name Boethin, Jeremy J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jun 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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