Healthcare Provider Details

I. General information

NPI: 1154822534
Provider Name (Legal Business Name): GODSPEED ONE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6557 N CRAFTED LN STE 100
MERIDIAN ID
83646-1581
US

IV. Provider business mailing address

6557 N CRAFTED LN STE 100
MERIDIAN ID
83646-1581
US

V. Phone/Fax

Practice location:
  • Phone: 208-639-2303
  • Fax:
Mailing address:
  • Phone: 208-639-2303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateCO

VIII. Authorized Official

Name: DR. WILLIAM CHANDLER MERCHANT
Title or Position: OWNER/DOCTOR
Credential: D.C.
Phone: 575-642-3602