Doctor Name: | DR. SUSAN JANE AUBUCHON |
NPI Number: | 1336132380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., D.C. |
License Number: | CHIA-826 |
Business Practice Address: | 3316 1/2 4th St Ste 4a Lewiston, ID - 835014460 |
Business Phone Number: | 2087985420 |
Business Fax Number: | 2087985430 |
Mailing Address: | 3316 1/2 4th St, Ste 4a LEWISTON |
State: | ID |
Postal Code: | 835014460 |
Phone Number: | 2087985420 |
Fax Number: | 2087985430 |
NPI Enumeration Date: | 08/24/2005 |
NPI Last Update Date: | 12/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHIA-826 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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. |