NPI age
19 years
Enumerated 2007-03-15
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | C1633 | BLUE CROSS |
| 01 | C1633 | BC |
| 01 (HI) | 000010027794 | BLUE SHIELD |
Single-site organization. Only one practice location on file.
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