NPI age
19 years
Enumerated 2006-12-05
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010007911 | BLUE SHIELD |
| 01 (ID) | 350043555 | RAILROAD MEDICARE |
| 01 (ID) | 381928 | KANSAS BC BS |
| 01 (ID) | C-377 | STATE LICENSE |
| 01 (ID) | C7770 8E522 | BLUE CROSS |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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