Provider Demographics
NPI:1588990055
Name:HIRSCHI, BRENT EARL (DC)
Entity type:Individual
Prefix:DR
First Name:BRENT
Middle Name:EARL
Last Name:HIRSCHI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 N. HUBBARD STREET
Mailing Address - Street 2:SUITE #114
Mailing Address - City:COEUR D'ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814
Mailing Address - Country:US
Mailing Address - Phone:208-660-2480
Mailing Address - Fax:
Practice Address - Street 1:610 N. HUBBARD STREET
Practice Address - Street 2:SUITE #114
Practice Address - City:COEUR D'ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814
Practice Address - Country:US
Practice Address - Phone:208-660-2480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8079111N00000X
IDCHIA-1509111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor