Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARIA M MARICICH, D.C.
Active Sole ProprietorInternist (Chiropractor) · KETCHUM, ID
Registration Details
- NPI Number
- 1962542332
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2007 (19.200541469657 yrs)
- Last Updated
- Mar 25, 2014
- Licenses
-
C622 (ID)CHIA622 (ID)CHIA622 (ID)CHIA622 (ID)CHIA622 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
131 4TH ST. E, SUITE 310KETCHUM, ID, 83340Browse ID providers · Browse ZIP 83340
- Phone
- 2087266010
- Fax
- 2087266010
- Primary Specialty
-
Internist (Chiropractor)
111NI0900X
- Additional Specialty
- Nutrition (Chiropractor)
- Additional Specialty
- Internist (Chiropractor)
- Additional Specialty
- Pediatric Chiropractor
- Additional Specialty
- Sports Physician (Chiropractor)
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.