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NPI Code Detail

MEDICARE: DENNIS J DOWNEY D.C.

MEDICARE: DENNIS J DOWNEY D.C.
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
1111N00000XChiropractorCHIA-430ID

General Provider Information

NPI Number : 1639201957
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS J DOWNEY D.C.
Provider Business Mailing Address
First Line : 108 E PINE ST
Second Line :
City : CALDWELL
State : ID
Zip : 83605-4836
Country : US
Telephone Number : 208-459-0858
Fax Number : 208-459-0850
Provider Business Practice Location Address
First Line : 108 E PINE ST
Second Line :
City : CALDWELL
State : ID
Zip : 83605-4836
Country : US
Telephone Number : 208-459-0858
Fax Number : 208-459-0850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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