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Ellison Family Chiropractic
Chiropractor in Eagle, Idaho
NPI 1508188400

Ellison Family Chiropractic is a Chiropractor based in Eagle, ID. Ellison Family Chiropractic practices in Eagle, ID. The NPI Number for Ellison Family Chiropractic is 1508188400 and holds a License No. CHIA-845 (Idaho).

The current practice location address for Ellison Family Chiropractic is 3225 W Bavaria St, Eagle, ID and can be reached out via phone at 208-884-8848 and via fax at 208-884-8802.

Location: 3225 W Bavaria St, Eagle, ID, 83616-5413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508188400
Provider Name
Ellison Family Chiropractic
Credential
Provider Entity Type
Organization
Address
3225 W Bavaria St, Eagle, ID, 83616-5413
Phone Number
208-884-8848
Fax Number
208-884-8802
Provider Enumeration Date
02/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807028500 05 ID
institution
Provider Business Practice Location Address Details
Address
3225 W Bavaria St
City
Eagle
State
Idaho
Zip
83616-5413
Phone Number
208-884-8848
Fax Number
208-884-8802
person
Provider Business Mailing Address Details
Address
3225 W Bavaria St
City
Eagle
State
Idaho
Zip
83616-5413
Phone Number
208-884-8848
Fax Number
208-884-8802
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-845 (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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