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NPI Code Detail

MEDICARE: GAERTNER CHIROPRACTIC & INTEGRATED MEDICINE CLINIC PA

MEDICARE: GAERTNER CHIROPRACTIC & INTEGRATED MEDICINE CLINIC PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NN1001XNutrition ChiropractorCHIA829ID

General Provider Information

NPI Number : 1356358204
Entity Type Code : Organization
Provider Name (Legal Business Name) : GAERTNER CHIROPRACTIC & INTEGRATED MEDICINE CLINIC PA
Provider Business Mailing Address
First Line : 315 7TH AVE S
Second Line : PO BOX 3306
City : NAMPA
State : ID
Zip : 83651-3848
Country : US
Telephone Number : 208-467-5994
Fax Number :
Provider Business Practice Location Address
First Line : 217 W GEORGIA AVE STE 120
Second Line :
City : NAMPA
State : ID
Zip : 83686-6812
Country : US
Telephone Number : 208-467-5994
Fax Number : 208-467-5127
Authorized Official
Title or Position : PRESIDENT
Name : DR. SHANNON D GAERTNER-EWING
Credential : D.C.
Telephone Number : 208-467-5994
Provider Enumeration Date : 08/02/2006
Last Update Date : 06/28/2023

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Directions to “GAERTNER CHIROPRACTIC & INTEGRATED MEDICINE CLINIC PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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