Back To Health Chiropractic Clinic Inc

LBN: Back To Health Chiropractic Clinic Inc
Back To Health Chiropractic Clinic Inc is an health care organization with primary practice located at 60 S 2Nd W , Rexburg ID 83440-1819. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Back To Health Chiropractic Clinic Inc can be contacted via phone (208) 359-2264, or through Booth, David George via phone (208) 359-2264.

Contact Information

Primary practice address
60 S 2Nd W Rexburg ID 83440-1819
Phone: (208) 359-2264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Booth, David George Doctor of Chiropractic (DC)
Phone: (208) 359-2264

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA 804 Idaho

Profile Details

NPI number 1013111764
LBN Legal business name Back To Health Chiropractic Clinic Inc
DBA Doing business as
Authorized official Booth, David George Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1013111764 NPPES
Idaho Other 000010019702 BLUE SHIELD
Idaho Other C8042 BLUE SHIELD

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