Sirucek, Dax

Sirucek, Dax is an individual health care provider with primary practice located at 3080 E Gentry Way 110, Meridian ID 83642-3544. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Sirucek, Dax can be contacted via phone (208) 345-7262.

Contact Information

Primary practice address
3080 E Gentry Way 110 Meridian ID 83642-3544
Fax: (208) 343-1953
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X CHIA-1276 Idaho

Profile Details

NPI number 1669654935
LBN Legal business name Sirucek, Dax
Credentials DC, DACNB
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Jun 21st, 2011 - about 13 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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