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Advanced Chiropractic Of Blackfoot
Preferred Provider Organization in Blackfoot, Idaho
NPI 1720521719

Advanced Chiropractic Of Blackfoot is a Preferred Provider Organization based in Blackfoot, ID. Advanced Chiropractic Of Blackfoot practices in Blackfoot, ID. The NPI Number for Advanced Chiropractic Of Blackfoot is 1720521719 and holds a License No. CHIA-1502 (Idaho).

The current practice location address for Advanced Chiropractic Of Blackfoot is 1395 Nw Main St, Blackfoot, ID and can be reached out via phone at 208-785-0270 and via fax at 208-785-0683.

Location: 1395 Nw Main St, Blackfoot, ID, 83221-1636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720521719
Provider Name
Advanced Chiropractic Of Blackfoot
Credential
Provider Entity Type
Organization
Address
1395 Nw Main St, Blackfoot, ID, 83221-1636
Phone Number
208-785-0270
Fax Number
208-785-0683
Provider Enumeration Date
11/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZIR91475 01 ID TRADING PARTNER
institution
Provider Business Practice Location Address Details
Address
1395 Nw Main St
City
Blackfoot
State
Idaho
Zip
83221-3936
Phone Number
208-785-0270
Fax Number
208-785-0683
person
Provider Business Mailing Address Details
Address
1395 Nw Main St
City
Blackfoot
State
Idaho
Zip
83221-3936
Phone Number
208-785-0270
Fax Number
208-785-0683
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
CHIA-1502 (Idaho)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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