Provider Demographics
NPI:1598281321
Name:WHITE BROTHERS INVESTMENTS PLLC
Entity Type:Organization
Organization Name:WHITE BROTHERS INVESTMENTS PLLC
Other - Org Name:PAIN RELIEF CHIROPRACTIC & MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDSON
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-895-2600
Mailing Address - Street 1:1520 E HERITAGE PARK ST STE 150
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-5886
Mailing Address - Country:US
Mailing Address - Phone:208-895-2600
Mailing Address - Fax:208-895-2700
Practice Address - Street 1:1520 E HERITAGE PARK ST STE 150
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-5886
Practice Address - Country:US
Practice Address - Phone:208-895-2600
Practice Address - Fax:208-895-2700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA1741111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty