Dr. Richelle Rae Whitehead
Pediatric Chiropractor
405 S 8th St Ste 290
Boise
, Idaho 83702-7100
Dr. Richelle Rae Whitehead
Pediatric Chiropractor
405 S 8th St Ste 290
Boise
, Idaho 83702-7100
(208) 540-0883
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About
Features
Specialties
- Pediatric Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Richelle Rae Whitehead
- 1226 E Jefferson St
- Boise, ID
- Zip : 83712-7908
- Phone : (208) 540-0883
Second Address
- Dr. Richelle Rae Whitehead
- 405 S 8th St Ste 290
- Boise, ID
- Zip : 83702-7100
- Phone : (208) 342-7136
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NP0017X | Pediatric Chiropractor | CHIA-2045 | ID |
National Provider Identifier
| NPI | 1245804624 |
|---|---|
| Provider Name | Dr. Richelle Rae Whitehead |
| First Address | Boise, ID 83712-7908 |
| Second Address | Boise, ID 83702-7100 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2021 |
| Last Update Date | 19/05/2021 |
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.