NPI age
18 years
Enumerated 2007-07-25
Across 1165 active chiropractor providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 50389 | WASHINGTON LABOR AND INDU |
| 01 | 350042012 | MEDICARE RAILROAD |
| 01 | 1374336 | MEDICARE GROUP ID |
| 01 | C1476 | BLUE CROSS |
| 01 | 000010006910 | BLUE SHIELD |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-site organization. 1 additional practice location on file.
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