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White Chiropractic Clinic Pllc
Chiropractor in Rexburg, Idaho
NPI 1922236694

White Chiropractic Clinic Pllc is a Chiropractor based in Rexburg, ID. White Chiropractic Clinic Pllc practices in Rexburg, ID. The NPI Number for White Chiropractic Clinic Pllc is 1922236694 and holds a License No. CHIA-1111 (Idaho).

The current practice location address for White Chiropractic Clinic Pllc is 1096 Erikson Dr, Rexburg, ID and can be reached out via phone at 208-656-3205 and via fax at 208-656-3206.

Location: 1096 Erikson Dr, Rexburg, ID, 83440-0743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922236694
Provider Name
White Chiropractic Clinic Pllc
Credential
Provider Entity Type
Organization
Address
1096 Erikson Dr, Rexburg, ID, 83440-0743
Phone Number
208-656-3205
Fax Number
208-656-3206
Provider Enumeration Date
07/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C4439 01 ID BLUE CROSS
807090700 05 ID
000010149474 01 ID BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1096 Erikson Dr
City
Rexburg
State
Idaho
Zip
83440-5297
Phone Number
208-656-3205
Fax Number
208-656-3206
person
Provider Business Mailing Address Details
Address
1096 Erikson Dr
City
Rexburg
State
Idaho
Zip
83440-5297
Phone Number
208-656-3205
Fax Number
208-656-3206
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-1111 (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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