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Contact Information

CHARLENE R STODDARD, D.C.
1025 W IRONWOOD DR
STE 2
COEUR D'ALENE, ID83814-3161
 Phone: 208-667-0875
 Fax: 208-667-2850
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CHARLENE R STODDARD · (Female)

NPI # 1114922739
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 06/20/2005
Last updated 07/12/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # CHIA-819
  • ID License # CHIA819
  • ID Medicaid 1673575
  • ID Other C-8190 BLUE CROSS
  • ID Other 000010022440 BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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