Provider Demographics
NPI:1467205732
Name:DEL HOYO HERRERA, JAVIER (DC)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:
Last Name:DEL HOYO HERRERA
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 1:326 1/2 CALDWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-1926
Mailing Address - Country:US
Mailing Address - Phone:208-242-4476
Mailing Address - Fax:
Practice Address - Street 1:326 1/2 CALDWELL BLVD
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-1926
Practice Address - Country:US
Practice Address - Phone:208-242-4476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-2312111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor