Codi Fuller, D.C.

Chiropractor · Lewiston, ID

Individual Active NPI

NPI number 1093102428

Practice location

30207 Rosenkrantz Rd
Lewiston, ID 83501-5229
Phone
(208) 691-8647

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NPI record

NPI
1093102428
Entity type
Individual (Type 1)
Enumeration date
April 23, 2015
Last updated
July 31, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CHIA-1649 ID

About Dr. Fuller

Codi Fuller, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 30207 Rosenkrantz Rd, Lewiston, ID 83501-5229. The NPI number 1093102428 was assigned on April 23, 2015 and the record was last updated on July 31, 2016.

Dr. Fuller lists a license in the registry: #CHIA-1649 (ID) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Codi Fuller, D.C.?

The NPI number is 1093102428.

What is the phone number of Dr. Fuller?

The phone number listed for the practice location is (208) 691-8647.

Where is Dr. Fuller located?

30207 Rosenkrantz Rd, Lewiston, ID 83501-5229.

What is the taxonomy code for Dr. Fuller?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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