Eastern Idaho Chiropractic Clinic Pa

LBN: Eastern Idaho Chiropractic Clinic Pa
Eastern Idaho Chiropractic Clinic Pa is an health care organization with primary practice located at 2585 Channing Way , Idaho Falls ID 83404-7516. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Eastern Idaho Chiropractic Clinic Pa can be contacted via phone (208) 522-0200, or through Nelson, Larry Dean via phone (208) 522-0200.

Contact Information

Primary practice address
2585 Channing Way Idaho Falls ID 83404-7516
Phone: (208) 522-0200
Fax: (208) 523-6051
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Larry Dean D.C.N.M.D
Phone: (208) 522-0200

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Idaho

Profile Details

NPI number 1588732523
LBN Legal business name Eastern Idaho Chiropractic Clinic Pa
DBA Doing business as
Authorized official Nelson, Larry Dean D.C.N.M.D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Dec 18th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588732523 NPPES
Idaho Other 000010020547 BLUE SHIELD INSURANCE
Idaho Other C9453 BLUE SHIELD INSURANCE

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