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BACK COUNTRY CHIROPRACTIC AND WELLNESS CENTER INC. NPI 1861555286


NPI Information

NPI: 1861555286
Provider Name: BACK COUNTRY CHIROPRACTIC AND WELLNESS CENTER INC.
Classification: Chiropractor - 111NI0900X
Entity Type: Organization

Specialization: Internist

CLIA Number: 13D1025447

Address:
201 PARK ST.
MCCALL, ID
ZIP 83638
Phone: (208) 634-8129
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BACK COUNTRY CHIROPRACTIC AND WELLNESS CENTER INC. is an internist chiropractor in Mccall, ID. The provider is the chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. BACK COUNTRY CHIROPRACTIC AND WELLNESS CENTER INC. NPI is 1861555286. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 PARK ST.
MCCALL, ID
ZIP 83638-005
Phone: (208) 634-8129
Fax: (208) 634-7651

The provider's authorized official is Irwin Mulnick .
The authorized official title is President and has the following contact phone number (208) 634-8129.

The CLIA number assigned to this NPI record is 13D1025447 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 8/22/2020.


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
1111NI0900XChiropractorInternistCHIA595IDAHOYes
2111NS0005XChiropractorSports PhysicianCHIA578IDAHOX

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
1CHIA595OTHERIDAHOUMA MULNICK, LICENSE #
2C9446OTHERIDAHOBLUE CROSS, UMA MULNICK
3CHIA578OTHERIDAHOIRWIN MULNICK LICENSE #
4C5782OTHERIDAHOBLUE CROSS IRWIN MULNICK

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.