ENERGETIC CHIROPRACTIC PC NPI 1467729426

NPI Information

NPI: 1467729426
Provider Name: ENERGETIC CHIROPRACTIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1003 N ORCHARD ST
BOISE, ID
ZIP 83706
Phone: (208) 376-3113
Get Directions

ENERGETIC CHIROPRACTIC PC 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. ENERGETIC CHIROPRACTIC PC NPI is 1467729426. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1003 N ORCHARD ST
BOISE, ID
ZIP 83706-231
Phone: (208) 376-3113
Fax: (208) 376-4114

The provider's authorized official is Michael Myrth Moriarty .
The authorized official title is Doctor and has the following contact phone number (208) 376-3113.

The enumeration date for this NPI number is 11/18/2011 and was last updated on 11/18/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CHIA-392	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1675119	MEDICARE PIN	IDAHO

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

NPI Synchronization or Removal

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