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Contact Information

GARY D MUSGRAVE, D.C.
3314 N. COLE RD.
BOISE, ID83704
 Phone: 208-377-9930
 Fax: 208-377-9932
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GARY D MUSGRAVE · (Male)

NPI # 1003930967
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 03/18/2007
Last updated 02/04/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # CHIA-1306
  • OH License # 1586
  • OH Other 000000136764 ANTHEM
  • OH Other 341690892-00 BWC
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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