Idaho Spine Clinic Llc is a
Chiropractor based in Malad City, Idaho. Idaho Spine Clinic Llc is licensed to practice in Idaho (license number CHIA-837) and their current practice location is
148 E 50 S, Malad City, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 766-8111.
NPI number for Idaho Spine Clinic Llc is 1679805535 and their current mailing address is Po Box 69, Malad City, Idaho. Idaho Spine Clinic Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1679805535.
Healthcare Provider's Profile
Full Name | Idaho Spine Clinic Llc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 148 E 50 S, Malad City, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679805535
- Provider Enumeration Date: 02/03/2010
- Last Update Date: 02/03/2010
Medical Identifiers
Medical identifiers for Idaho Spine Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679805535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | CHIA-837 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Idaho Spine Clinic Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Idaho Spine Clinic Llc Po Box 69, Malad City, ID 83252-0069 Ph: (208) 766-8111 | Idaho Spine Clinic Llc 148 E 50 S, Malad City, ID 83252-1368 Ph: (208) 766-8111 |
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