Boise Sports Chiropractic Clinic in Boise - Nutrition

Boise Sports Chiropractic Clinic - NPI 1114124138

Boise Sports Chiropractic Clinic is a Nutrition in Boise, Idaho. Boise Sports Chiropractic Clinic practices all healthcare services and medical treatments related to Nutrition. The NPI Number for Boise Sports Chiropractic Clinic is 1114124138. The last update date is 2020-08-22.

Boise Sports Chiropractic Clinic's current location address is 3314 N Cole Rd, Boise, Idaho. You can contact this provider via phone number 2083779930. The mailing address for Boise Sports Chiropractic Clinic is 3314 N Cole Rd, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Boise Sports Chiropractic Clinic
Address 3314 N Cole Rd, Boise, Idaho
Phone Number 2083779930
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Hearon Kevin
Credentials D.C., C.C.
Telephone Number 2083779930

NPI Number Detail

NPI Number 1114124138
Provider Enumeration Date 2007-07-02
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3314 N Cole Rd
City Boise
State Idaho (ID)
Post Code 837044403
Phone Number 2083779930
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nutrition
Taxonomy 111Nn1001X
Licence No C-4918
Definition:
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C-4918 ID IDAHO LICENSE NO.

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FAQs about Boise Sports Chiropractic Clinic

What is the Boise Sports Chiropractic Clinic's 1114124138?

The Boise Sports Chiropractic Clinic's NPI (National Provider Identifier) Number is 1114124138. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Boise Sports Chiropractic Clinic is physically located?

The Boise Sports Chiropractic Clinic is physically situated at the following address: 3314 N Cole Rd, Boise, ID, 837044403.

What is the area of specialization for Boise Sports Chiropractic Clinic, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Boise Sports Chiropractic Clinic is Nutrition, and the corresponding taxonomy code that categorizes this area of expertise is 111Nn1001X.

On what date was the 1114124138 assigned to Boise Sports Chiropractic Clinic?

The Boise Sports Chiropractic Clinic was issued its 1114124138 on 2007-07-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Boise Sports Chiropractic Clinic most recently updated?

The details pertaining to the Boise Sports Chiropractic Clinic, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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