person
Mr. Shenandoah Layne Troumbley, DCCNIM
Electroneurodiagnostic Specialist/Technologist in Preston, Idaho
NPI 1619037033

Shenandoah Layne Troumbley is a Electroneurodiagnostic Specialist/Technologist based in Preston, ID and is specialized in Electroneurodiagnostic. Shenandoah Layne Troumbley practices in Preston, ID and has the professional credentials of DCCNIM. The NPI Number for Shenandoah Layne Troumbley is 1619037033 and holds a License No. CHIA-1091 (Idaho).

The current practice location address for Shenandoah Layne Troumbley is 43 S 300 E, Preston, ID and can be reached out via phone at 734-545-3896. You can also correspond with Shenandoah Layne Troumbley through the mailing address at 43 S 300 E, PRESTON, ID - 83263-1318 (mailing address contact number: 734-545-3896).

Location: 43 S 300 E, Preston, ID, 83263-1318
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Provider Profile Details
NPI Number
1619037033
Provider Name
Shenandoah Layne Troumbley
Credential
DCCNIM
Provider Entity Type
Individual
Gender
Male
Address
43 S 300 E, Preston, ID, 83263-1318
Phone Number
734-545-3896
Fax Number
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806965100 05 ID
000010148066 01 ID BLUE SHEILD OF IDAHO
C4785 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
43 S 300 E
City
State
Zip
83263-1318
Phone Number
734-545-3896
Fax Number
person
Provider Business Mailing Address Details
Address
43 S 300 E
City
State
Zip
83263-1318
Phone Number
734-545-3896
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
License No.
CHIA-1091 (Idaho)
Definition
Definition to come...
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