Evolution Joint Pain Clinic

LBN: Evolution Joint Pain Clinic
Evolution Joint Pain Clinic is an health care organization with primary practice located at 947 E Winding Creek Dr Ste 200 , Eagle ID 83616-7231. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Evolution Joint Pain Clinic can be contacted via phone (208) 917-2928, or through Payne, Jeremy via phone (503) 756-5317.

Contact Information

Primary practice address
947 E Winding Creek Dr Ste 200 Eagle ID 83616-7231
Phone: (208) 917-2928
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Payne, Jeremy Doctor of Chiropractic (DC)
Phone: (503) 756-5317

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1932871985
LBN Legal business name Evolution Joint Pain Clinic
DBA Doing business as
Authorized official Payne, Jeremy Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2021
Last updated Oct 21st, 2021 - about 3 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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