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BACK IN HEALTH CHIROPRACTIC INC. NPI 1528211034


NPI Information

NPI: 1528211034
Provider Name: BACK IN HEALTH CHIROPRACTIC, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1801 LINCOLN WAY
SUITE 4
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 665-7158
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BACK IN HEALTH CHIROPRACTIC, INC. is a chiropractor in Coeur D Alene, 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. BACK IN HEALTH CHIROPRACTIC, INC. NPI is 1528211034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 LINCOLN WAY
SUITE 4
COEUR D ALENE, ID
ZIP 83814-547
Phone: (208) 665-7158
Fax: (208) 664-2225

The provider's authorized official is Dennnis Jeffrey Cockrum .
The authorized official title is President and has the following contact phone number (208) 665-7158.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.


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-970IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11174694384MEDICARE UPINIDAHO

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: 4/28/2024

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