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WHITE CHIROPRACTIC CLINIC PLLC NPI 1922236694


NPI Information

NPI: 1922236694
Provider Name: WHITE CHIROPRACTIC CLINIC PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1096 ERIKSON DR
REXBURG, ID
ZIP 83440
Phone: (208) 656-3205
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WHITE CHIROPRACTIC CLINIC PLLC is a chiropractor in Rexburg, 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. WHITE CHIROPRACTIC CLINIC PLLC NPI is 1922236694. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1096 ERIKSON DR
REXBURG, ID
ZIP 83440-297
Phone: (208) 656-3205
Fax: (208) 656-3206

The provider's authorized official is Scott White .
The authorized official title is Owner and has the following contact phone number (208) 656-3205.

The enumeration date for this NPI number is 7/1/2009 and was last updated on 7/1/2009.


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-1111IDAHOYes

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
1000010149474OTHERIDAHOBLUE SHIELD
2807090700MEDICAIDIDAHO
3C4439OTHERIDAHOBLUE CROSS

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

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