NPI age
20 years
Enumerated 2005-12-01
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010007462 | REGENCE OF IDAHO |
| 01 (ID) | C460-3 | BLUE CROSS OF IDAHO |
| 01 (ID) | 612716 | UNITED HEALTHCARE |
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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