person
Bob Phillip Heaton, DC
Chiropractor in Idaho Falls, Idaho
NPI 1083688030

Bob Phillip Heaton is a Chiropractor based in Idaho Falls, ID. Bob Phillip Heaton practices in Idaho Falls, ID and has the professional credentials of DC. The NPI Number for Bob Phillip Heaton is 1083688030 and holds a License No. CHIA 369 (Idaho).

The current practice location address for Bob Phillip Heaton is 1320 S Ammon Road, Idaho Falls, ID and can be reached out via phone at 208-529-2084 and via fax at 208-529-2084. You can also correspond with Bob Phillip Heaton through the mailing address at 1320 S. AMMON ROAD, IDAHO FALLS, ID - 83406-5810 (mailing address contact number: 208-529-2084).

Location: 1320 S Ammon Road, Idaho Falls, ID, 83406-5810
person
Provider Profile Details
NPI Number
1083688030
Provider Name
Bob Phillip Heaton
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1320 S Ammon Road, Idaho Falls, ID, 83406-5810
Phone Number
208-529-2084
Fax Number
208-529-2084
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000953900 05 ID
000010008077 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1320 S Ammon Road
City
State
Zip
83406-5810
Phone Number
208-529-2084
Fax Number
208-529-2084
person
Provider Business Mailing Address Details
Address
1320 S. Ammon Road
City
State
Zip
83406-5810
Phone Number
208-529-2084
Fax Number
208-529-2084
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CHIA 369 (Idaho)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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