Prime Sports Med

LBN: Prime Sports Med
Prime Sports Med is an health care organization with primary practice located at 1601 12Th Ave Rd Suite 101, Nampa ID 83686-5015. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty. Prime Sports Med can be contacted via phone (208) 466-0200, or through Bower, Jacob via phone (208) 466-0200.

Contact Information

Primary practice address
1601 12Th Ave Rd Suite 101 Nampa ID 83686-5015
Phone: (208) 466-0200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bower, Jacob Doctor of Chiropractic (DC)
Phone: (208) 466-0200

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-1618 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1407354574
LBN Legal business name Prime Sports Med
DBA Doing business as
Authorized official Bower, Jacob Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2018
Last updated May 25th, 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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