Search › Idaho › 111N00000X
Jeremy Boethin, D.C
NPI 1740314442 · on the registry since 2007 · sole proprietor
Practice
- Address
- 12545 W Goldcrest St
Star, ID 83669 - Phone
- (541) 480-1555
- Organisation at this address
- Elevate Chiropractic
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho