Moss Chiropractic, P.A.

LBN: Moss Chiropractic, P.A.
Moss Chiropractic, P.A. is an health care organization with primary practice located at 1278 S Woodruff Ave , Idaho Falls ID 83404-5544. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Moss Chiropractic, P.A. can be contacted via phone (208) 524-3018, or through Moss, Daryl A. via phone (208) 527-3039.

Contact Information

Primary practice address
1278 S Woodruff Ave Idaho Falls ID 83404-5544
Phone: (208) 524-3018
Fax: (208) 524-3019
Website:
Map and Directions
Authorized official contact:
Name: Moss, Daryl A. Doctor of Chiropractic (DC)
Phone: (208) 527-3039

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-896 Idaho

Profile Details

NPI number 1912029604
LBN Legal business name Moss Chiropractic, P.A.
DBA Doing business as
Authorized official Moss, Daryl A. Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Jan 13th, 2012 - about 13 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 1912029604 NPPES
Idaho Other 000010028117 BLUE SHIELD OF IDAHO
Idaho Other C1823 BLUE SHIELD OF IDAHO
Idaho MEDICAID 807164600 BLUE SHIELD OF IDAHO

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