Provider Demographics
NPI:1346297942
Name:STRASSER, ANTHONY LEON (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:LEON
Last Name:STRASSER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:PAYETTE
Mailing Address - State:ID
Mailing Address - Zip Code:83661-2536
Mailing Address - Country:US
Mailing Address - Phone:208-642-2344
Mailing Address - Fax:208-642-4060
Practice Address - Street 1:828 CENTER AVE
Practice Address - Street 2:
Practice Address - City:PAYETTE
Practice Address - State:ID
Practice Address - Zip Code:83661-2536
Practice Address - Country:US
Practice Address - Phone:208-642-2344
Practice Address - Fax:208-642-4060
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807536600Medicaid