Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1330 | ID |
Y | 175F00000X | Naturopath | 0405 | OR |
NPI | 1134344492 |
---|---|
Provider Name | James Z Said |
First Address | Orofino, ID 83544-6389 |
Second Address | Orofino, ID 83544-6389 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 24/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T68089 | (02) | OR |