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HEALTHY HABITS WELLNESS CLINIC INC NPI 1336273267


NPI Information

NPI: 1336273267
Provider Name: HEALTHY HABITS WELLNESS CLINIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 13D2255709

Address:
14 S BALTIC PL
MERIDIAN, ID
ZIP 83642
Phone: (208) 887-4872
Get Directions

HEALTHY HABITS WELLNESS CLINIC 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. HEALTHY HABITS WELLNESS CLINIC INC NPI is 1336273267. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14 S BALTIC PL
MERIDIAN, ID
ZIP 83642-935
Phone: (208) 887-4872
Fax: (208) 887-6331

The provider's authorized official is Kimball T Lundahl .
The authorized official title is Chiropractor and has the following contact phone number (208) 887-4872.

The CLIA number assigned to this NPI record is 13D2255709 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 9/2/2021.


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
1363LF0000XNurse PractitionerFamilyNo
2111N00000XChiropractorCHIA-1089IDAHOYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.