Crane, Stephen Rodney

Crane, Stephen Rodney is an individual health care provider with primary practice located at 9762 W State St , Star ID 83669-5766. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Crane, Stephen Rodney can be contacted via phone (208) 286-7733.

Contact Information

Primary practice address
9762 W State St Star ID 83669-5766
Phone: (208) 286-7733
Fax: (208) 392-1940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA 1084 Idaho

Profile Details

NPI number 1104968411
LBN Legal business name Crane, Stephen Rodney
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Mar 13th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104968411 NPPES
Idaho Other 000010147777 BLUE SHIELD
Idaho Other C4173 BLUE SHIELD

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