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FORGIVEN P.A. NPI 1649495532


NPI Information

NPI: 1649495532
Provider Name: FORGIVEN P.A.

Doing Business As: COULTER FAMILY CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4619 EMERALD ST
STE.102
BOISE, ID
ZIP 83706
Phone: (208) 367-1497
Get Directions

FORGIVEN P.A. 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. FORGIVEN P.A. NPI is 1649495532. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Coulter Family Chiropractic.

The provider's business location address is:

4619 EMERALD ST
STE.102
BOISE, ID
ZIP 83706-051
Phone: (208) 367-1497
Fax: (208) 385-9190

The provider's authorized official is Scott C Coulter .
The authorized official title is Doctor and has the following contact phone number (208) 367-1497.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 5/20/2009.


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
1111N00000XChiropractorCHIA797IDAHONo
2111N00000XChiropractorCHIA798IDAHOYes

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
1U62543MEDICARE UPINIDAHO
2805211700MEDICAIDIDAHO
3U69745MEDICARE UPINIDAHO
41673456MEDICARE ID-TYPE UNSPECIFIEDIDAHO

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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