NPI age
19 years
Enumerated 2007-02-13
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P00106895 | RR MEDICARE |
| 01 (ID) | 000010021339 | REGENCE BLUE SHIELD |
| 01 (ID) | 2099279 | FIRST HEALTH NETWORK |
| 05 (ID) | 806994800 | |
| 01 (ID) | C6194 | BLUE CROSS OF IDAHO |
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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