Preston Chiropractic Clinic, Inc.

LBN: Preston Chiropractic Clinic, Inc.
Preston Chiropractic Clinic, Inc. is an health care organization with primary practice located at 122 N State St , Preston ID 83263-1143. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Preston Chiropractic Clinic, Inc. can be contacted via phone (208) 852-0083, or through Ward, Leonard E. via phone (208) 852-0083.

Contact Information

Primary practice address
122 N State St Preston ID 83263-1143
Phone: (208) 852-0083
Fax: (208) 852-0051
Website:
Map and Directions
Authorized official contact:
Name: Ward, Leonard E. Doctor of Chiropractic (DC)
Phone: (208) 852-0083

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1275849119
LBN Legal business name Preston Chiropractic Clinic, Inc.
DBA Doing business as
Authorized official Ward, Leonard E. Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2010
Last updated Dec 1st, 2011 - 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 1275849119 NPPES
Idaho Other 000010008535 BLUE SHIELD
Idaho Other C4876 BLUE SHIELD

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