NPI age
20 years
Enumerated 2005-08-16
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | C9016 | BLUE CROSS |
| 01 | 006910 | BLUE SHIELD |
| 01 | C1476 | BLUE CROSS |
| 01 | 000010006910 | BLUE SHIELD |
| 01 | 350042012 | RAILROAD MEDICARE |
| 01 | 50389 | WA L & I |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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