NPI age
19 years
Enumerated 2006-10-23
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 000010008923 | REGENCE BLUE SHIELD |
| 01 | C4348 | 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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