Orchard, Todd Alvin

Orchard, Todd Alvin is an individual health care provider with primary practice located at 160 East Valley River Dr Ste 3 , Rexburg ID 83440. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Orchard, Todd Alvin can be contacted via phone (208) 656-8883.

Contact Information

Primary practice address
160 East Valley River Dr Ste 3 Rexburg ID 83440
Phone: (208) 656-8883
Fax: (208) 656-8883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-1002 Idaho

Profile Details

NPI number 1740364900
LBN Legal business name Orchard, Todd Alvin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 13th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740364900 NPPES
Idaho Other 000010139170 REGENCE BLUE SHIELD OF ID
Idaho MEDICAID 806386200 REGENCE BLUE SHIELD OF ID
Idaho Other C9905 REGENCE BLUE SHIELD OF ID

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