| Javier Del Hoyo Herrera, DC | |
|
326 1/2 Caldwell Blvd, Nampa, ID 83651-1926 | |
| (208) 242-4476 | |
| Not Available |
| Full Name | Javier Del Hoyo Herrera |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 326 1/2 Caldwell Blvd, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467205732 | NPI | - | NPPES |
| 883912950 | Other | CP575 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-2312 (Idaho) | Primary |
| Provider Name | Vitalistic Wellness Institute Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295557866 PECOS PAC ID: 4385165851 Enrollment ID: O20250313000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Del Hoyo Herrera, DC 5217 Nez Perce Rd, Caldwell, ID 83607-8063 Ph: (208) 242-4476 | Javier Del Hoyo Herrera, DC 326 1/2 Caldwell Blvd, Nampa, ID 83651-1926 Ph: (208) 242-4476 |
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