Boise Sports Chiropractic Clinic

LBN: Boise Sports Chiropractic Clinic
Boise Sports Chiropractic Clinic is an health care organization with primary practice located at 3314 N Cole Rd , Boise ID 83704-4403. The organization recently has 5 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Sports Physician, Chiropractic Providers / Orthopedic. Chiropractic Providers / Chiropractor is the primary health care specialty. Boise Sports Chiropractic Clinic can be contacted via phone (208) 377-9930, or through Hearon, Kevin via phone (208) 377-9930.

Contact Information

Primary practice address
3314 N Cole Rd Boise ID 83704-4403
Phone: (208) 377-9930
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hearon, Kevin D.C., C.C.S.P
Phone: (208) 377-9930

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X C-4918 Idaho
Chiropractic Providers / Nutrition 111NN1001X C-4918 Idaho
Chiropractic Providers / Rehabilitation 111NR0400X C-4918 Idaho
Chiropractic Providers / Sports Physician 111NS0005X C-4918 Idaho
Chiropractic Providers / Orthopedic 111NX0800X C-4918 Idaho

Profile Details

NPI number 1114124138
LBN Legal business name Boise Sports Chiropractic Clinic
DBA Doing business as
Authorized official Hearon, Kevin D.C., C.C.S.P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1114124138 NPPES
Idaho Other C-4918 IDAHO LICENSE NO.

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