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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

NPI Number 1093513566
LBN Legal business name ROAM IND LLC
Authorized official JUSTIN BRINK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2025
Last updated 03/05/2025 - More than a year ago
Identifiers n/a
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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