Provider Demographics
NPI:1326836438
Name:EARNEST, ELIZABETH ANN (DC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:EARNEST
Suffix:
Gender:
Credentials:DC
Other - Prefix:MRS
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:EARNEST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:702 VISTA TER
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83686-8248
Mailing Address - Country:US
Mailing Address - Phone:208-880-6007
Mailing Address - Fax:986-212-0582
Practice Address - Street 1:702 VISTA TER
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83686-8248
Practice Address - Country:US
Practice Address - Phone:208-880-6007
Practice Address - Fax:986-212-0582
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA683111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor