| NPI | 1114536794 |
|---|---|
| Former Legal Business Name | JOHN HICKEY PC |
| Entity Type | Organization |
| Authorized Contact | JOHN HICKEY Chiropractor 208-338-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |