institution
Buena Vista Enterprises, Inc.
Chiropractor in Fruitland, Idaho
NPI 1336305184

Buena Vista Enterprises, Inc. is a Chiropractor based in Fruitland, ID. Buena Vista Enterprises, Inc. practices in Fruitland, ID. The NPI Number for Buena Vista Enterprises, Inc. is 1336305184 and holds a License No. CHIA-703 (Idaho).

The current practice location address for Buena Vista Enterprises, Inc. is 2007 N Whitley Dr, Fruitland, ID and can be reached out via phone at 208-452-4455 and via fax at 208-452-3025.

Location: 2007 N Whitley Dr, Fruitland, ID, 83619-2132
institution
Provider Profile Details
NPI Number
1336305184
Provider Name
Buena Vista Enterprises, Inc.
Credential
Provider Entity Type
Organization
Address
2007 N Whitley Dr, Fruitland, ID, 83619-2132
Phone Number
208-452-4455
Fax Number
208-452-3025
Provider Enumeration Date
07/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010006845 01 ID BLUE SHIELD
C7036 01 ID BLUE CROSS
T42006 01 ID MOST OTHERS
institution
Provider Business Practice Location Address Details
Address
2007 N Whitley Dr
City
State
Zip
83619-2132
Phone Number
208-452-4455
Fax Number
208-452-3025
person
Provider Business Mailing Address Details
Address
2007 N Whitley Dr
City
State
Zip
83619-2132
Phone Number
208-452-4455
Fax Number
208-452-3025
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CHIA-703 (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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