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Northern Lakes Chiropractic Clinic, P.c.
Chiropractor in Ponderay, Idaho
NPI 1710156443

Northern Lakes Chiropractic Clinic, P.c. is a Chiropractor based in Ponderay, ID. Northern Lakes Chiropractic Clinic, P.c. practices in Ponderay, ID. The NPI Number for Northern Lakes Chiropractic Clinic, P.c. is 1710156443 and holds a License No. CHIA-1250 (Idaho).

The current practice location address for Northern Lakes Chiropractic Clinic, P.c. is 30544 Highway 200 Ste 330, Ponderay, ID and can be reached out via phone at 208-265-1900 and via fax at 208-227-8313.

Location: 30544 Highway 200 Ste 330, Ponderay, ID, 83852-5005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710156443
Provider Name
Northern Lakes Chiropractic Clinic, P.c.
Credential
Provider Entity Type
Organization
Address
30544 Highway 200 Ste 330, Ponderay, ID, 83852-5005
Phone Number
208-265-1900
Fax Number
208-227-8313
Provider Enumeration Date
02/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30544 Highway 200 Ste 330
City
Ponderay
State
Idaho
Zip
83852-5005
Phone Number
208-265-1900
Fax Number
208-227-8313
person
Provider Business Mailing Address Details
Address
30544 Highway 200 Ste 330
City
Ponderay
State
Idaho
Zip
83852-5005
Phone Number
208-265-1900
Fax Number
208-227-8313
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-1250 (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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