NPI age
19 years
Enumerated 2007-03-16
Across 1165 active chiropractor providers in Idaho.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010145823 | BLUE SHIELD |
| 01 (ID) | CHIA590 | LICENSE NUMBER |
| 01 (ID) | C9388 | BLUE CROSS ID |
Multi-provider organization. 3 individual providers on file at this primary address.
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