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BACK 2 LIFE MEDICAL INC NPI 1033562319


NPI Information

NPI: 1033562319
Provider Name: BACK 2 LIFE MEDICAL INC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
2016 S EAGLE RD
MERIDIAN, ID
ZIP 83642
Phone: (208) 887-6810
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BACK 2 LIFE MEDICAL INC is a nurse practitioner in Meridian, ID. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. BACK 2 LIFE MEDICAL INC NPI is 1033562319. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2016 S EAGLE RD
MERIDIAN, ID
ZIP 83642-707
Phone: (208) 887-6810
Fax: (208) 887-6797

The provider's authorized official is Justin Griffin .
The authorized official title is Owner/president and has the following contact phone number (208) 887-6810.

The enumeration date for this NPI number is 7/21/2016 and was last updated on 7/21/2016.


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-874IDAHONo
2363L00000XNurse PractitionerNP-1639AIDAHOYes

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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