GRAYSON BLOM D.C. NPI 1316112428

NPI Information

NPI: 1316112428
Provider Name: GRAYSON BLOM, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
5975 W. OVERLAND RD.
BOISE, ID
ZIP 83709
Phone: (208) 559-0541
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Grayson Blom, D.C. 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. Grayson Blom, D.C. NPI is 1316112428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5975 W. OVERLAND RD.
BOISE, ID
ZIP 83709
Phone: (208) 559-0541

The enumeration date for this NPI number is 4/29/2008 and was last updated on 11/9/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CHIA-1297	IDAHO	Yes

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

NPI Synchronization or Removal

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