DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY J BOETHIN, D.C.

Active Sole Proprietor

JEREMY J BOETHIN, D.C. is a Chiropractor healthcare provider located in STAR, Idaho. NPI 1740314442 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · STAR, ID

Registration Details

NPI Number
1740314442
Provider Type
Individual
Gender
Male
NPI Issued
Mar 15, 2007 (19.381248170854 yrs)
Last Updated
Jun 2, 2023
Licenses
273407 (OR)
CHIA-2246 (ID)
Sole Proprietor
Yes

Practice Information

Address
12545 W GOLDCREST ST
STAR, ID, 836696513
Browse ID providers · Browse ZIP 83669
Phone
5414801555
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Chiropractor

Other Chiropractor Providers in STAR, ID

Name Credential NPI
DR. STEPHEN RODNEY CRANE D.C. 1104968411
DR. RICHARD E. ADAMS DC 1770759912
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.