Dr. Jeffrey Thomas Welker
Chiropractic Sports Physician
301 N 27th St
Boise
, Idaho 83702-4725
Dr. Jeffrey Thomas Welker
Chiropractic Sports Physician
301 N 27th St
Boise
, Idaho 83702-4725
(208) 343-2584
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Thomas Welker
- 301 N 27th St
- Boise, ID
- Zip : 83702-4725
- Phone : (208) 343-2584
Second Address
- Dr. Jeffrey Thomas Welker
- 301 N 27th St
- Boise, ID
- Zip : 83702-4725
- Phone : (208) 343-2584
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | C-520 | ID |
National Provider Identifier
| NPI | 1245389790 |
|---|---|
| Provider Name | Dr. Jeffrey Thomas Welker |
| First Address | Boise, ID 83702-4725 |
| Second Address | Boise, ID 83702-4725 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000010007866 | REGENCE BLUE SHIELD (01) | ID |
| C-520-4 | BLUE CROSS OF IDAHO (01) | ID |
| T44503 | (02) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.