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MOSCOW CHIROPRACTIC CLINIC NPI 1134253362


NPI Information

NPI: 1134253362
Provider Name: MOSCOW CHIROPRACTIC CLINIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
325 W 3RD ST
MOSCOW, ID
ZIP 83843
Phone: (208) 882-8534
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MOSCOW CHIROPRACTIC CLINIC is a chiropractor in Moscow, 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. MOSCOW CHIROPRACTIC CLINIC NPI is 1134253362. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

325 W 3RD ST
MOSCOW, ID
ZIP 83843-204
Phone: (208) 882-8534
Fax: (208) 882-6866

The provider's authorized official is John R Sandell .
The authorized official title is Owner and has the following contact phone number (208) 882-8534.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/22/2020.


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-357IDAHOYes

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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