Eagle Sport & Family Chiropractic Pllc in Eagle - Sports Physician
Eagle Sport & Family Chiropractic Pllc - NPI 1861574410
Eagle Sport & Family Chiropractic Pllc is a Sports Physician in Eagle, Idaho. Eagle Sport & Family Chiropractic Pllc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Eagle Sport & Family Chiropractic Pllc is 1861574410. The last update date is 2013-04-03.
Eagle Sport & Family Chiropractic Pllc's current location address is 547 S Fitness Pl, Eagle, Idaho. You can contact this provider via phone number 2089393986 and fax number 2083192700. The mailing address for Eagle Sport & Family Chiropractic Pllc is 547 S Fitness Pl, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagle Sport & Family Chiropractic Pllc |
|---|---|
| Address | 547 S Fitness Pl, Eagle, Idaho |
| Phone Number | 2089393986 |
| Fax Number | 2083192700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Knotts K Kraig |
| Credentials | D. C. |
| Telephone Number | 2089393986 |
NPI Number Detail
| NPI Number | 1861574410 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2013-04-03 |
Provider Mailing Address Detail
| Address | 547 S Fitness Pl |
|---|---|
| City | Eagle |
| State | Idaho (ID) |
| Post Code | 836166552 |
| Phone Number | 2089393986 |
| Fax Number | 2083192700 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CHIA-1073 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Post Comment/ Review Below
What is the unique identifier code issued to Eagle Sport & Family Chiropractic Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Eagle Sport & Family Chiropractic Pllc has been assigned the NPI (National Provider Identifier) 1861574410. 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 Eagle Sport & Family Chiropractic Pllc is geographically located?
The Eagle Sport & Family Chiropractic Pllc is physically situated at the following location: 547 S Fitness Pl, Eagle, ID, 836166552.
What is Eagle Sport & Family Chiropractic Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eagle Sport & Family Chiropractic Pllc is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861574410 to Eagle Sport & Family Chiropractic Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1861574410 to Eagle Sport & Family Chiropractic Pllc on 2006-10-20.
As of what date were the details related to Eagle Sport & Family Chiropractic Pllc most recently updated or revised?
The information pertaining to Eagle Sport & Family Chiropractic Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2013-04-03.