Northside Chiropractic

LBN: Dr. Mick L. Tiegs, Inc., Ps
Northside Chiropractic is an health care organization with primary practice located at 2301 N 36Th St , Boise ID 83703-5207. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Health Service is the primary health care specialty. Dr. Mick L. Tiegs, Inc., Ps can be contacted via phone (208) 571-8418, or through Tiegs, Mick L. via phone (208) 571-8418.

Contact Information

Primary practice address
2301 N 36Th St Boise ID 83703-5207
Fax: (208) 344-5277
Website:
Authorized official contact:
Name: Tiegs, Mick L. Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3119 Washington
Ambulatory Health Care Facilities / Health Service 261QH0100X CHIA-1056 Idaho

Profile Details

NPI number 1689709735
LBN Legal business name Dr. Mick L. Tiegs, Inc., Ps
DBA Doing business as Northside Chiropractic
Authorized official Tiegs, Mick L. Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Feb 4th, 2008 - about 16 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 1689709735 NPPES
Washington Other 1497750350 NPI-INDIVIDUAL

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