1669518791

Everything you always wanted to know about DR. SOULSBY EUGENE HAROLD DC but were afraid to ask.

DR. SOULSBY EUGENE HAROLD DC

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. SOULSBY EUGENE HAROLD DC
Gender:
Male
Enumeration date:
2007-01-29
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
000010008029 Other REGENCE BLUE SHIELD ID
C3217 Other BLUE CROSS ID

Taxonomies

Taxonomy State License Number Primary?
111N00000X Chiropractor ID C321 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2086783893
Practice Location Address Telephone Number 2086783893
Mailing Address Fax Number 2086787374
Practice Location Address Fax Number 2086787374

Addresses

Type Address City State Postal Country
Mailing Address 1246 OAKLEY AVENUE BURLEY ID 83318 ID
Practice Location Address 1246 OAKLEY AVENUE BURLEY ID 83318 ID