Cannon Chiropractic

LBN: Cannon Chiropractic
Cannon Chiropractic is an health care organization with primary practice located at 2052 Jennie Lee Dr Suite 4, Idaho Falls ID 83404-7047. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Cannon Chiropractic can be contacted via phone (208) 557-1880, or through Cannon, Timothy W via phone (208) 557-1880.

Contact Information

Primary practice address
2052 Jennie Lee Dr Suite 4 Idaho Falls ID 83404-7047
Phone: (208) 557-1880
Fax: (208) 874-4273
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Timothy W D.C., M.S.
Phone: (208) 557-1880

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X CHIA-1580 Idaho

Profile Details

NPI number 1164837647
LBN Legal business name Cannon Chiropractic
DBA Doing business as
Authorized official Cannon, Timothy W D.C., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2014
Last updated Jun 24th, 2014 - about 10 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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