Eastern Idaho Chiropractic Clinic Pa in Idaho Falls - Chiropractor
Eastern Idaho Chiropractic Clinic Pa - NPI 1588732523
Eastern Idaho Chiropractic Clinic Pa is a Chiropractor in Idaho Falls, Idaho. Eastern Idaho Chiropractic Clinic Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Eastern Idaho Chiropractic Clinic Pa is 1588732523. The last update date is 2015-12-18.
Eastern Idaho Chiropractic Clinic Pa's current location address is 2585 Channing Way, Idaho Falls, Idaho. You can contact this provider via phone number 2085220200 and fax number 2085236051. The mailing address for Eastern Idaho Chiropractic Clinic Pa is 2585 Channing Way, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastern Idaho Chiropractic Clinic Pa |
|---|---|
| Address | 2585 Channing Way, Idaho Falls, Idaho |
| Phone Number | 2085220200 |
| Fax Number | 2085236051 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIROPRACT |
|---|---|
| Authorized Official Name | Nelson Dean Larry |
| Credentials | D.C.N.M.D |
| Telephone Number | 2085220200 |
NPI Number Detail
| NPI Number | 1588732523 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2015-12-18 |
Provider Mailing Address Detail
| Address | 2585 Channing Way |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834047516 |
| Phone Number | 2085220200 |
| Fax Number | 2085236051 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10020547 | ID | BLUE SHIELD INSURANCE | |
| C9453 | ID | BLUE CROSS INSURANCE |
Post Comment/ Review Below
What is the unique identifier code issued to Eastern Idaho Chiropractic Clinic Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Eastern Idaho Chiropractic Clinic Pa has been assigned the NPI (National Provider Identifier) 1588732523. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Eastern Idaho Chiropractic Clinic Pa is geographically located?
The Eastern Idaho Chiropractic Clinic Pa is physically situated at the following location: 2585 Channing Way, Idaho Falls, ID, 834047516.
What is Eastern Idaho Chiropractic Clinic Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eastern Idaho Chiropractic Clinic Pa'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 Eastern Idaho Chiropractic Clinic Pa receive its 1588732523 assignment from the Centers for Medicare & Medicaid Services?
The Eastern Idaho Chiropractic Clinic Pa was assigned its 1588732523 by the Centers for Medicare & Medicaid Services on 2006-11-30.
When was the information regarding Eastern Idaho Chiropractic Clinic Pa most recently updated?
The details pertaining to the Eastern Idaho Chiropractic Clinic Pa, including its address, specialty, and other relevant information, were last refreshed on 2015-12-18.
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