EGBERT CHIROPRACTIC PA NPI 1639185358

NPI Information

EGBERT CHIROPRACTIC PA is a chiropractor in Twin Falls, 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. EGBERT CHIROPRACTIC PA NPI is 1639185358. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

479 POLK ST
SUITE A
TWIN FALLS, ID
ZIP 83301-850
Phone: (208) 736-0887

The provider's authorized official is Paul Egbert .
The authorized official title is Owner and has the following contact phone number (208) 736-0887.

The CLIA number assigned to this NPI record is 13D2220558 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 10/23/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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