Back Country Chiropractic Pllc

LBN: Back Country Chiropractic Pllc
Back Country Chiropractic Pllc is an health care organization with primary practice located at 104 N Bridge St Suite 104, Saint Anthony ID 83445-1455. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Back Country Chiropractic Pllc can be contacted via phone (208) 624-2222, or through Hill, Paul Clement via phone (208) 624-2222.

Contact Information

Primary practice address
104 N Bridge St Suite 104 Saint Anthony ID 83445-1455
Fax: (208) 624-2220
Website:
Authorized official contact:
Name: Hill, Paul Clement Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-1145 Idaho

Profile Details

NPI number 1891985826
LBN Legal business name Back Country Chiropractic Pllc
DBA Doing business as
Authorized official Hill, Paul Clement Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 26th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891985826 NPPES
Idaho Other 000010154569 REGENCE BS
Idaho Other 1369096 REGENCE BS
Idaho Other C9670 REGENCE BS
Idaho Other 1670479 REGENCE BS

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