Swayze, Charles P

Swayze, Charles P is an individual health care provider with primary practice located at 402 W Canfield Ave Ste 3, Coeur D Alene ID 83815-7784. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Swayze, Charles P can be contacted via phone (208) 762-9000.

Contact Information

Primary practice address
402 W Canfield Ave Ste 3 Coeur D Alene ID 83815-7784
Phone: (208) 762-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-886 Idaho

Profile Details

NPI number 1558362483
LBN Legal business name Swayze, Charles P
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 21st, 2020 - about 4 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 1558362483 NPPES
Idaho MEDICAID 805528100

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