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Shaloam Ofisa, DC,MS
Chiropractor in Pocatello, Idaho
NPI 1952713166

Shaloam Ofisa is a Chiropractor based in Pocatello, ID. Shaloam Ofisa practices in Pocatello, ID and has the professional credentials of DC,MS. The NPI Number for Shaloam Ofisa is 1952713166 and holds a License No. CHIA-1603 (Idaho).

The current practice location address for Shaloam Ofisa is 1800 Flandro Dr, Pocatello, ID and can be reached out via phone at 208-221-2973.

Location: 1800 Flandro Dr, Pocatello, ID, 83202-4912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952713166
Provider Name
Shaloam Ofisa
Credential
DC,MS
Provider Entity Type
Individual
Gender
Male
Address
1800 Flandro Dr, Pocatello, ID, 83202-4912
Phone Number
208-221-2973
Fax Number
Provider Enumeration Date
05/22/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952713166 05 ID
institution
Provider Business Practice Location Address Details
Address
1800 Flandro Dr
City
Pocatello
State
Idaho
Zip
83202
Phone Number
208-221-2973
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Flandro Dr
City
Pocatello
State
Idaho
Zip
83202
Phone Number
208-221-2973
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-1603 (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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