Stutzman, Brian Wayne

Stutzman, Brian Wayne is an sole proprietor health care provider with primary practice located at 1580 W 4Th St Ste 103 , Meridian ID 83642-2182. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stutzman, Brian Wayne can be contacted via phone (208) 888-9292.

Contact Information

Primary practice address
1580 W 4Th St Ste 103 Meridian ID 83642-2182
Phone: (208) 888-9292
Fax: (208) 888-3231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-708 Idaho

Profile Details

NPI number 1033268545
LBN Legal business name Stutzman, Brian Wayne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 9th, 2007 - about 18 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 1033268545 NPPES
Idaho Other C708-5 BLUE CROSS
Idaho Other 000010029531 BLUE CROSS

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