Eagle Chiropractic Pc in Eagle - Clinic/center

Eagle Chiropractic Pc - NPI 1720188857

Eagle Chiropractic Pc is a Clinic/center in Eagle, Idaho. Eagle Chiropractic Pc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Eagle Chiropractic Pc is 1720188857. The last update date is 2019-10-11.

Eagle Chiropractic Pc's current location address is 5337 W State St, Eagle, Idaho. You can contact this provider via phone number 2089399195 and fax number 2089394686. The mailing address for Eagle Chiropractic Pc is 5337 W State St, Eagle, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eagle Chiropractic Pc
Address 5337 W State St, Eagle, Idaho
Phone Number 2089399195
Fax Number 2089394686
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SECRETARY
Authorized Official Name Nord Lynn Sherry
Telephone Number 2089399195

NPI Number Detail

NPI Number 1720188857
Provider Enumeration Date 2006-09-25
Last Updated Date 2019-10-11

Provider Mailing Address Detail

Address 5337 W State St
City Eagle
State Idaho (ID)
Post Code 836164313
Phone Number 2089399195
Fax Number 2089394686

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No C561
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

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FAQs about Eagle Chiropractic Pc

What is the unique identification code assigned to Eagle Chiropractic Pc by the Centers for Medicare & Medicaid Services?

The Eagle Chiropractic Pc has been issued the NPI (National Provider Identifier) 1720188857. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Eagle Chiropractic Pc?

The Eagle Chiropractic Pc is physically situated at 5337 W State St, in the city of Eagle, state of ID, with the postal code 836164313.

What is the Eagle Chiropractic Pc's specialty and taxonomy code?

The Eagle Chiropractic Pc's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.

On what date did the Eagle Chiropractic Pc receive the assignment of its 1720188857 from the Centers for Medicare & Medicaid Services?

The Eagle Chiropractic Pc was issued its 1720188857 by the Centers for Medicare & Medicaid Services on 2006-09-25.

As of what date was the information pertaining to Eagle Chiropractic Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Eagle Chiropractic Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-10-11.

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