DR. MICK L. TIEGS INC. PS NPI 1689709735

NPI Information

NPI: 1689709735
Provider Name: DR. MICK L. TIEGS, INC., PS

Doing Business As: NORTHSIDE CHIROPRACTIC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2301 N 36TH ST
BOISE, ID
ZIP 83703
Phone: (208) 571-8418
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DR. MICK L. TIEGS, INC., PS is a health service clinic center in Boise, ID. DR. MICK L. TIEGS, INC., PS NPI is 1689709735. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northside Chiropractic.

The provider's business location address is:

2301 N 36TH ST
BOISE, ID
ZIP 83703-207
Phone: (208) 571-8418
Fax: (208) 344-5277

The provider's authorized official is Mick L. Tiegs .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (208) 571-8418.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 2/4/2008.

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		3119	WASHINGTON	No
2	261QH0100X	Clinic/Center	Health Service	CHIA-1056	IDAHO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U62975	MEDICARE UPIN	WASHINGTON
2	1497750350	OTHER	WASHINGTON	NPI-INDIVIDUAL

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

NPI Synchronization or Removal

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