NPI age
20 years
Enumerated 2006-02-15
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 000953900 | |
| 01 | 000010008077 | BLUE CROSS BLUE SHIELD |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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