Advanced Chiropractic Of Blackfoot

LBN: Advanced Chiropractic Of Blackfoot
Advanced Chiropractic Of Blackfoot is an health care organization with primary practice located at 1395 Nw Main St , Blackfoot ID 83221-3936. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Advanced Chiropractic Of Blackfoot can be contacted via phone (208) 785-0270, or through Stevens, Dee Scott via phone (208) 785-0270.

Contact Information

Primary practice address
1395 Nw Main St Blackfoot ID 83221-3936
Phone: (208) 785-0270
Fax: (208) 785-0683
Website:
Map and Directions
Authorized official contact:
Name: Stevens, Dee Scott
Phone: (208) 785-0270

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X CHIA-1502 Idaho

Profile Details

NPI number 1720521719
LBN Legal business name Advanced Chiropractic Of Blackfoot
DBA Doing business as
Authorized official Stevens, Dee Scott
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2016
Last updated Nov 4th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720521719 NPPES
Idaho Other ZIR91475 TRADING PARTNER

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