Van Sickle Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1529 Issued in ID

Legal business name

VAN SICKLE CHIROPRACTIC LLC

Practice address

1100 N Cole Rd
Boise, ID 83704-8644

Phone

(208) 375-3500

Fax

(208) 375-3716

NPI assigned

Jan 16, 2013

Organization subpart

No

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

Authorized official

Name

Jason Van Sickle, DC

Title

Owner

Phone

(208) 781-1334

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1629315254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048644",
            "telephone_number": "208-375-3500",
            "fax_number": "208-375-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048644",
            "telephone_number": "208-375-3500",
            "fax_number": "208-375-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN SICKLE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "VAN SICKLE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-781-1334",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Marie Van Giffen, L.D.
• Isabelle E Van Gores
• Erica Jane Van Leuven I, LCPC, NCC
• Katie Elizabeth Van Lier, PA-C
• Mariellen C Van Nieuwenhuyzen, MD
• Katie Marie Van Tassell, LPC
• Dana Van Wyck
• Jamie Lynn Van, LPC
• Pamela Vance, CRC, LPC
• Ryan R Vance, RD, LD

• Chiropractor in Boise, ID
• Providers in Boise, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.