Evolution Chiropractic And Wellness

LBN: Evolution Chiropractic And Wellness
Evolution Chiropractic And Wellness is an health care organization with primary practice located at 947 E Winding Creek Dr Ste 200 , Eagle ID 83616-7231. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Evolution Chiropractic And Wellness can be contacted via phone (503) 756-5317, or through Payne, Jeremy via phone (208) 917-2928.

Contact Information

Primary practice address
947 E Winding Creek Dr Ste 200 Eagle ID 83616-7231
Phone: (503) 756-5317
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Payne, Jeremy Doctor of Chiropractic (DC)
Phone: (208) 917-2928

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1801554852
LBN Legal business name Evolution Chiropractic And Wellness
DBA Doing business as
Authorized official Payne, Jeremy Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2021
Last updated Dec 7th, 2021 - about 5 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 1801554852 NPPES
Idaho MEDICAID IDTPID015388

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