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CLEARWATER CHIROPRACTIC & ACUPUNCTURE P.A. NPI 1871761148


NPI Information

NPI: 1871761148
Provider Name: CLEARWATER CHIROPRACTIC & ACUPUNCTURE, P.A.

Doing Business As: CCA

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3316 1/2 4TH ST STE 4A
LEWISTON, ID
ZIP 83501
Phone: (208) 798-5420
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CLEARWATER CHIROPRACTIC & ACUPUNCTURE, P.A. is a chiropractor in Lewiston, 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. CLEARWATER CHIROPRACTIC & ACUPUNCTURE, P.A. NPI is 1871761148. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cca.

The provider's business location address is:

3316 1/2 4TH ST STE 4A
LEWISTON, ID
ZIP 83501-460
Phone: (208) 798-5420

The provider's authorized official is Susan Jane Aubuchon .
The authorized official title is President and has the following contact phone number (208) 798-5420.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 2/20/2008.


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
1111N00000XChiropractorCHIA826IDAHOYes

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
1C8901OTHERGEORGIABLUE CROSS OF IDAHO
2U68815MEDICARE UPINIDAHO
31674346MEDICARE PINIDAHO

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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