Grandstaff, Bruce John
Grandstaff, Bruce John is an individual health care provider with primary practice located at 7905 N Meadowlark Way Ste B, Coeur D Alene ID 83815. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Grandstaff, Bruce John can be contacted via phone (208) 772-6015.Contact Information
Primary practice address
7905 N Meadowlark Way Ste B
Coeur D Alene ID 83815
Phone: (208) 772-6015
Fax: (208) 772-6016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA 668 | Idaho |
Profile Details
| NPI number | 1730155334 |
|---|---|
| LBN Legal business name | Grandstaff, Bruce John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 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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