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GRAND TETON CHIROPRACTIC P.C. NPI 1679519193


NPI Information

NPI: 1679519193
Provider Name: GRAND TETON CHIROPRACTIC, P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1220 E 17TH ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 529-1919
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GRAND TETON CHIROPRACTIC, P.C. is a chiropractor in Idaho 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. GRAND TETON CHIROPRACTIC, P.C. NPI is 1679519193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1220 E 17TH ST
IDAHO FALLS, ID
ZIP 83404-147
Phone: (208) 529-1919
Fax: (208) 552-9447

The provider's authorized official is James C. Gardner .
The authorized official title is President and has the following contact phone number (208) 529-1919.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 2/10/2014.


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
1111N00000XChiropractorCHIA 904IDAHOYes

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: 5/5/2024

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