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WILLIS FAMILY CHIROPRACTIC LLC NPI 1114191137


NPI Information

NPI: 1114191137
Provider Name: WILLIS FAMILY CHIROPRACTIC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
10451 W GARVERDALE CT
SUITE 201
BOISE, ID
ZIP 83704
Phone: (208) 322-4114
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WILLIS FAMILY CHIROPRACTIC, LLC is a chiropractor in Boise, ID. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WILLIS FAMILY CHIROPRACTIC, LLC NPI is 1114191137. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10451 W GARVERDALE CT
SUITE 201
BOISE, ID
ZIP 83704-408
Phone: (208) 322-4114
Fax: (208) 322-4115

The provider's authorized official is Nicole Willis .
The authorized official title is Chiropractor, Owner and has the following contact phone number (208) 322-4114.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 10/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCHIA-1268, CHIA-1267IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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