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SPINAL DYNAMICS CHIROPRACTIC AND REHABILITATION SPECIALISTS INC. NPI 1164610796


NPI Information

NPI: 1164610796
Provider Name: SPINAL DYNAMICS CHIROPRACTIC AND REHABILITATION SPECIALISTS, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3715 E OVERLAND RD
SUITE #105
MERIDIAN, ID
ZIP 83642
Phone: (208) 888-0055
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SPINAL DYNAMICS CHIROPRACTIC AND REHABILITATION SPECIALISTS, INC. is a chiropractor in Meridian, 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. SPINAL DYNAMICS CHIROPRACTIC AND REHABILITATION SPECIALISTS, INC. NPI is 1164610796. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3715 E OVERLAND RD
SUITE #105
MERIDIAN, ID
ZIP 83642-395
Phone: (208) 888-0055
Fax: (208) 888-5062

The provider's authorized official is Susan Lynne Cunningham .
The authorized official title is Chiropractic Physician/owner and has the following contact phone number (208) 888-0055.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 1/10/2008.


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
1111N00000XChiropractorYes

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
1102054-NVOTHERNEVADAMEDICARE ID
2V08333MEDICARE UPINNEVADA

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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