White Chiropractic Clinic Pllc

LBN: White Chiropractic Clinic Pllc
White Chiropractic Clinic Pllc is an health care organization with primary practice located at 1096 Erikson Dr , Rexburg ID 83440-5297. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. White Chiropractic Clinic Pllc can be contacted via phone (208) 656-3205, or through White, Scott via phone (208) 656-3205.

Contact Information

Primary practice address
1096 Erikson Dr Rexburg ID 83440-5297
Phone: (208) 656-3205
Fax: (208) 656-3206
Website:
Map and Directions
Authorized official contact:
Name: White, Scott Doctor of Chiropractic (DC)
Phone: (208) 656-3205

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-1111 Idaho

Profile Details

NPI number 1922236694
LBN Legal business name White Chiropractic Clinic Pllc
DBA Doing business as
Authorized official White, Scott Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2009
Last updated Jul 1st, 2009 - about 17 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 1922236694 NPPES
Idaho Other C4439 BLUE CROSS
Idaho MEDICAID 807090700 BLUE CROSS
Idaho Other 000010149474 BLUE CROSS

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