Provider Demographics
NPI:1356431431
Name:HOOD, CHAD CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:CHRISTOPHER
Last Name:HOOD
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 1:3211 N MILWAUKEE ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-4446
Mailing Address - Country:US
Mailing Address - Phone:208-375-2225
Mailing Address - Fax:
Practice Address - Street 1:3211 N MILWAUKEE ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-4446
Practice Address - Country:US
Practice Address - Phone:208-375-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1538111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1356431431OtherNATIONAL PROVIDER ID
1356431431OtherNATIONAL PROVIDER ID