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Contact Information

ROAM IND LLC
36 N ECHOHAWK LN STE 104B
EAGLE, ID83616-4013
 Phone: 208-968-6700
 Fax: 208-563-3938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ROAM IND LLC · (Female)

NPI Number 1093513566
Status Active
Credentials
Entity Individual
Enumeration date 03/03/2025
Last updated 03/05/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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