Grand Teton Chiropractic, Pllc

LBN: Grand Teton Chiropractic, Pllc
Grand Teton Chiropractic, Pllc is an health care organization with primary practice located at 1387 Cambridge Dr Suite 100, Idaho Falls ID 83401-4257. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Grand Teton Chiropractic, Pllc can be contacted via phone (208) 529-1919, or through Gardner, James Criddle via phone (208) 529-1919.

Contact Information

Primary practice address
1387 Cambridge Dr Suite 100 Idaho Falls ID 83401-4257
Phone: (208) 529-1919
Fax: (208) 552-9447
Website:
Map and Directions
Authorized official contact:
Name: Gardner, James Criddle Doctor of Chiropractic (DC)
Phone: (208) 529-1919

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA 904 Idaho

Profile Details

NPI number 1891880779
LBN Legal business name Grand Teton Chiropractic, Pllc
DBA Doing business as
Authorized official Gardner, James Criddle Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
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.

Request for update

Popular Providers