Provider Demographics
NPI:1922678721
Name:HYER CHIROPRACTIC
Entity Type:Organization
Organization Name:HYER CHIROPRACTIC
Other - Org Name:HYER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-603-0186
Mailing Address - Street 1:516597 HIGHWAY 95
Mailing Address - Street 2:
Mailing Address - City:BONNERS FERRY
Mailing Address - State:ID
Mailing Address - Zip Code:83805-5067
Mailing Address - Country:US
Mailing Address - Phone:208-267-7410
Mailing Address - Fax:
Practice Address - Street 1:6541 MAIN ST
Practice Address - Street 2:
Practice Address - City:BONNERS FERRY
Practice Address - State:ID
Practice Address - Zip Code:83805-8521
Practice Address - Country:US
Practice Address - Phone:208-267-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty