Provider Demographics
NPI:1538576020
Name:JOEL JAROLIMEK DC INC.
Entity type:Organization
Organization Name:JOEL JAROLIMEK DC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:JAROLIMEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-725-0000
Mailing Address - Street 1:PO BOX 10044
Mailing Address - Street 2:
Mailing Address - City:KETCHUM
Mailing Address - State:ID
Mailing Address - Zip Code:83340-8044
Mailing Address - Country:US
Mailing Address - Phone:208-725-0000
Mailing Address - Fax:208-725-0066
Practice Address - Street 1:660 2ND AVE. N
Practice Address - Street 2:1B
Practice Address - City:KETCHUM
Practice Address - State:ID
Practice Address - Zip Code:83340-8044
Practice Address - Country:US
Practice Address - Phone:208-725-0000
Practice Address - Fax:208-725-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA 816111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1164419669OtherNPI
1164419669OtherNPI