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Eastern Idaho Chiropractic Clinic Pa
Chiropractor in Idaho Falls, Idaho
NPI 1588732523

Eastern Idaho Chiropractic Clinic Pa is a Chiropractor based in Idaho Falls, ID. Eastern Idaho Chiropractic Clinic Pa practices in Idaho Falls, ID. The NPI Number for Eastern Idaho Chiropractic Clinic Pa is 1588732523 and holds a License No. (Idaho).

The current practice location address for Eastern Idaho Chiropractic Clinic Pa is 2585 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-522-0200 and via fax at 208-523-6051.

Location: 2585 Channing Way, Idaho Falls, ID, 83404-7516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588732523
Provider Name
Eastern Idaho Chiropractic Clinic Pa
Credential
Provider Entity Type
Organization
Address
2585 Channing Way, Idaho Falls, ID, 83404-7516
Phone Number
208-522-0200
Fax Number
208-523-6051
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010020547 01 ID BLUE SHIELD INSURANCE
C9453 01 ID BLUE CROSS INSURANCE
institution
Provider Business Practice Location Address Details
Address
2585 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7516
Phone Number
208-522-0200
Fax Number
208-523-6051
person
Provider Business Mailing Address Details
Address
2585 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7516
Phone Number
208-522-0200
Fax Number
208-523-6051
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(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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