Jericho Health & Wellness, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1369 Issued in ID

Legal business name

JERICHO HEALTH & WELLNESS, PC

Practice address

1250 W Ironwood Dr
Suite 301
Coeur D Alene, ID 83814-2679

Phone

(208) 664-5455

Fax

(208) 664-5422

NPI assigned

Aug 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelsey J Srstka

Title

Vice President/Office Manager

Phone

(208) 664-5455

Specialties & licenses 1

Addresses

Other names 1

• Jericho Chiropractic Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1083846489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W IRONWOOD DR",
            "address_2": "SUITE 301",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142679",
            "telephone_number": "208-664-5455",
            "fax_number": "208-664-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W IRONWOOD DR",
            "address_2": "SUITE 301",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142679",
            "telephone_number": "208-664-5455",
            "fax_number": "208-664-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO HEALTH & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "SRSTKA",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT/OFFICE MANAGER",
        "authorized_official_telephone_number": "208-664-5455"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jericho Chiropractic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.