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Contact Information

BACK IN ACTION CHIROPRACTIC LLC
645 N STATE ST
PRESTON, ID83263-1153
 Phone: 208-852-0411
 Fax: 208-485-8045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK IN ACTION CHIROPRACTIC LLC

NPI Number 1437549706
LBN Legal business name BACK IN ACTION CHIROPRACTIC LLC
Authorized official MICHAEL EARLEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2015
Last updated 04/01/2015 - About 11 years ago
Identifiers
ID License # CHIA-1544
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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