NPI age
19 years
Enumerated 2006-12-04
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010142851 | BLUE SHIELD |
| 01 (ID) | 670357 | UNITED HEALTH |
| 01 (ID) | C4686 | BLUE CROSS |
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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