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Dr. Justin Ray Cleverley, DC
Chiropractor in Buhl, Idaho
NPI 1386630531

Justin Ray Cleverley is a Chiropractor based in Buhl, ID. Justin Ray Cleverley practices in Buhl, ID and has the professional credentials of DC. The NPI Number for Justin Ray Cleverley is 1386630531 and holds a License No. CHIA-902 (Idaho).

The current practice location address for Justin Ray Cleverley is 800 Main St, Buhl, ID and can be reached out via phone at 208-543-2005 and via fax at 208-543-4172.

Location: 800 Main St, Buhl, ID, 83316-1236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386630531
Provider Name
Justin Ray Cleverley
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
800 Main St, Buhl, ID, 83316-1236
Phone Number
208-543-2005
Fax Number
208-543-4172
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C1575 01 ID BLUE CROSS
805752600 05 ID
000010027755 01 ID REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
800 Main St
City
Buhl
State
Idaho
Zip
83316-1236
Phone Number
208-543-2005
Fax Number
208-543-4172
person
Provider Business Mailing Address Details
Address
800 Main St
City
Buhl
State
Idaho
Zip
83316-1236
Phone Number
208-543-2005
Fax Number
208-543-4172
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-902 (Idaho)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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