Country Doctor Chartered
Organization Active NPI Chiropractor · Challis, ID
NPI 1104943612 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104943612
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- COUNTRY DOCTOR CHARTERED
- Practice address
- 1148 12TH St
Challis, ID 83226 - Phone
- (208) 879-2550
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Cynthia L. Rathmann, D.C.
- Title
- President
- Phone
- (208) 879-2550
Practitioners 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1148 12TH St
Challis, ID 83226
Mailing address
PO Box 1178
Challis, ID 83226-1178
Phone (208) 879-2550
Other providers in Challis, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.