Dr. Jessie Dean Smith
Chiropractor
115 S. 15th Suite C
Pocatello
, Idaho 83201
Dr. Jessie Dean Smith
Chiropractor
115 S. 15th Suite C
Pocatello
, Idaho 83201
(208) 232-7549
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Jessie Dean Smith
- 115 S. 15th Suite C
- Pocatello, ID
- Zip : 83201
- Fax : (208) 232-7549
- Phone : (208) 232-7558
Second Address
- Dr. Jessie Dean Smith
- 115 S. 15th Suite C
- Pocatello, ID
- Zip : 83201
- Fax : (208) 232-7549
- Phone : (208) 232-7558
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA809 | ID |
National Provider Identifier
| NPI | 1003918319 |
|---|---|
| Provider Name | Dr. Jessie Dean Smith |
| First Address | Pocatello, ID 83201 |
| Second Address | Pocatello, ID 83201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2006 |
| Last Update Date | 15/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U59646 | (02) | |
| U59646 | (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.