Mick L. Tiegs in Boise - Chiropractor

Mick L. Tiegs - NPI 1497750350

Mick L. Tiegs is a Chiropractor in Boise, Idaho. Mick L. Tiegs practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mick L. Tiegs is 1497750350. The last update date is 2008-02-19.

Mick L. Tiegs's current location address is 2301 N 36th St, Boise, Idaho. You can contact this provider via phone number 2083313100 and fax number 2083445277. The mailing address for Mick L. Tiegs is 2301 N 36th St, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Mick L. Tiegs
Address 2301 N 36th St, Boise, Idaho
Phone Number 2083313100
Fax Number 2083445277
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1497750350
Provider Enumeration Date 2005-06-16
Last Updated Date 2008-02-19

Provider Mailing Address Detail

Address 2301 N 36th St
City Boise
State Idaho (ID)
Post Code 8370352070
Phone Number 2083313100
Fax Number 2083445277

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CHIA-1056
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
109367 WA LABOR & INDUSTRIES
TI5132 WA REGENCE BLUE SHIELD

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FAQs about Mick L. Tiegs

What is the Mick L. Tiegs's unique identification number?

The Mick L. Tiegs has been assigned the NPI (National Provider Identifier) Number 1497750350 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Mick L. Tiegs?

The Mick L. Tiegs is physically situated at 2301 N 36Th St, in the city of Boise, state of ID, with the postal code 8370352070.

What is Mick L. Tiegs's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mick L. Tiegs's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

On what date did the Mick L. Tiegs receive its 1497750350 assignment from the Centers for Medicare & Medicaid Services?

The Mick L. Tiegs was assigned its 1497750350 by the Centers for Medicare & Medicaid Services on 2005-06-16.

As of what date were the details related to Mick L. Tiegs most recently updated or revised?

The information pertaining to Mick L. Tiegs, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-19.

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