Heaton, Bob Phillip
Heaton, Bob Phillip is an sole proprietor health care provider with primary practice located at 1320 S Ammon Road , Idaho Falls ID 83406-5810. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Heaton, Bob Phillip can be contacted via phone (208) 529-2084.Contact Information
Primary practice address
1320 S Ammon Road
Idaho Falls ID 83406-5810
Phone: (208) 529-2084
Fax: (208) 529-2084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA 369 | Idaho |
Profile Details
| NPI number | 1083688030 |
|---|---|
| LBN Legal business name | Heaton, Bob Phillip |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jan 24th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083688030 | NPPES |
| Idaho | MEDICAID | 000953900 | |
| Idaho | Other | 000010008077 |
Popular Providers
-
Adams, Eric C.
1880 E 17Th St , Idaho Falls ID 83404-6468 -
Robinson, Brian J.
1880 E 17Th St , Idaho Falls ID 83404-6468 -
Price, Wade Kelly
275 N Woodruff Ave , Idaho Falls ID 83401-4303 -
Lords, Craig B
335 River Pkwy , Idaho Falls ID 83402-3315 -
Jamison, Nolan Bradley
671 S Woodruff Ave , Idaho Falls ID 83401 -
Moss, Daryl A
2110 E 25Th St , Idaho Falls ID 83404-6475 -
Sayer, Eric Phillip
976 John Adams Pkwy , Idaho Falls ID 83401-4049 -
Sackett, Angela J
1278 S Woodruff Ave , Idaho Falls ID 83404-5544