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Dr. Mick L. Tiegs, Inc., Ps
Health Service Clinic/Center in Boise, Idaho
NPI 1689709735

Dr. Mick L. Tiegs, Inc., Ps is a Health Service Clinic/Center based in Boise, ID and is specialized in Health Service. Dr. Mick L. Tiegs, Inc., Ps practices in Boise, ID. The NPI Number for Dr. Mick L. Tiegs, Inc., Ps is 1689709735 and holds a License No. 3119 (Idaho).

The current practice location address for Dr. Mick L. Tiegs, Inc., Ps is 2301 N 36Th St, Boise, ID and can be reached out via phone at 208-571-8418 and via fax at 208-344-5277.

Location: 2301 N 36Th St, Boise, ID, 83703-5207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689709735
Provider Name
Dr. Mick L. Tiegs, Inc., Ps
Credential
Provider Entity Type
Organization
Address
2301 N 36Th St, Boise, ID, 83703-5207
Phone Number
208-571-8418
Fax Number
208-344-5277
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497750350 01 WA NPI-INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
2301 N 36Th St
City
Boise
State
Idaho
Zip
83703-5207
Phone Number
208-571-8418
Fax Number
208-344-5277
person
Provider Business Mailing Address Details
Address
2301 N 36Th St
City
Boise
State
Idaho
Zip
83703-5207
Phone Number
208-571-8418
Fax Number
208-344-5277
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-1056 (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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
3119 (Washington)
Definition
Definition to come...
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