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COUNTRY CHIROPRACTIC INC. NPI 1962529149


NPI Information

NPI: 1962529149
Provider Name: COUNTRY CHIROPRACTIC INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
178 E QUINN RD
POCATELLO, ID
ZIP 83201
Phone: (208) 237-4223
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COUNTRY CHIROPRACTIC INC. is a chiropractor in Pocatello, 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. COUNTRY CHIROPRACTIC INC. NPI is 1962529149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

178 E QUINN RD
POCATELLO, ID
ZIP 83201-502
Phone: (208) 237-4223
Fax: (208) 237-2011

The provider's authorized official is Cary Krusoff .
The authorized official title is President and has the following contact phone number (208) 237-4223.

The enumeration date for this NPI number is 3/23/2007 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
1111N00000XChiropractorCHIA779IDAHOYes

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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