Provider Demographics
NPI:1760068589
Name:HERRIN CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HERRIN CHIROPRACTIC LLC
Other - Org Name:TREASURE VALLEY CHIROPRACTIC SPINE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:HERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-647-3246
Mailing Address - Street 1:25 14TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-4394
Mailing Address - Country:US
Mailing Address - Phone:208-461-4764
Mailing Address - Fax:
Practice Address - Street 1:1016 E CHICAGO ST STE 105
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-5532
Practice Address - Country:US
Practice Address - Phone:208-453-6311
Practice Address - Fax:208-917-9007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty