| Resilient Chiropractic PLLC | |
|
350 N 2nd E Mountain Home ID 83647-2727 | |
| (208) 800-0745 | |
| Not Available |
| Full Name | Resilient Chiropractic PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 N 2nd E, Mountain Home, Idaho |
| Authorized Official Name and Position | Lauren Allam (OWNER) |
| Authorized Official Contact | 4438836018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Chiropractic PLLC 350 N 2nd E Mountain Home ID 83647-2727 Ph: (208) 800-0745 | Resilient Chiropractic PLLC 350 N 2nd E Mountain Home ID 83647-2727 Ph: (208) 800-0745 |
| NPI Number | 1528937315 |
|---|---|
| Provider Enumeration Date | 10/31/2025 |
| Last Update Date | 10/31/2025 |
| Certification Date | 10/31/2025 |
| Medicare PECOS PAC ID | 8628563590 |
|---|---|
| Medicare Enrollment ID | O20251218000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528937315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Lauren Allam |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447127154 PECOS PAC ID: 9335634203 Enrollment ID: I20260119000227 |
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