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DR. SCOTT CHARLES COULTER D.C. NPI 1386704708


NPI Information

NPI: 1386704708
Provider Name: DR. SCOTT CHARLES COULTER, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
4619 EMERALD ST STE 102
BOISE, ID
ZIP 83706
Phone: (208) 367-1497
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DR. Scott Charles Coulter, D.C. is a chiropractor in Boise, ID with 29 years of experience. 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. DR. Scott Charles Coulter, D.C. NPI is 1386704708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE - WEST
Graduation Year:1995

The provider's business location address is:

4619 EMERALD ST STE 102
BOISE, ID
ZIP 83706-051
Phone: (208) 367-1497

The enumeration date for this NPI number is 12/8/2006 and was last updated on 7/9/2007.


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-797IDAHOYes

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
11673456MEDICARE ID-TYPE UNSPECIFIEDIDAHOMEDICARE
2000010019854OTHERIDAHOREGENCE BLUE SHIELD OF ID
3C3423OTHERIDAHOIDAHO BLUE CROSS
4U62543MEDICARE UPINIDAHO

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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