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HAYCOCK CHIROPRACTIC PC
NPI 1073689618
Chiropractor in Maridian, ID

Active since November 27, 2006
1773 S MILLENIUM WAY, MARIDIAN, ID 83642(208) 855-2688(208) 855-2689 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Haycock Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAYCOCK CHIROPRACTIC PC (NPI 1073689618) is a healthcare organization registered as a chiropractor in Maridian, Idaho and active in the NPI registry since November 2006. The organization lists Jason Dale Haycock, President, as its authorized official.

NPPES Registry Identity

NPI1073689618
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHAYCOCK CHIROPRACTIC PC
Location Address1773 S MILLENIUM WAYMaridian, ID 83642-1511
Mailing Address1773 S Millenium WayMaridian, ID 83642-1511 · (208) 855-2688 · Fax (208) 855-2689
Phone(208) 855-2688
Fax(208) 855-2689
Organization SubpartNo
Authorized OfficialJason Dale HaycockPresident · (208) 855-2688
Enumeration DateNovember 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073689618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1773 S MILLENIUM WAY, Maridian, ID 83642
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haycock Chiropractic PC's NPI number?

The NPI number for Haycock Chiropractic PC is 1073689618. It was assigned to this organization in the NPPES registry on November 27, 2006.

Where is Haycock Chiropractic PC located?

Haycock Chiropractic PC is located at 1773 S Millenium Way, Maridian, ID 83642. The listed phone number is (208) 855-2688.

What is Haycock Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Haycock Chiropractic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.