Diaz, Dennis Mark

Diaz, Dennis Mark is an sole proprietor health care provider with primary practice located at 2624 Sunset Dr , Lewiston ID 83501-3443. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Diaz, Dennis Mark can be contacted via phone (208) 743-0472.

Contact Information

Primary practice address
2624 Sunset Dr Lewiston ID 83501-3443
Phone: (208) 743-0472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-429 Idaho

Profile Details

NPI number 1740206176
LBN Legal business name Diaz, Dennis Mark
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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