National Provider Identifier Database

ADVANCED CHIROPRACTIC OF BLACKFOOT
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

ADVANCED CHIROPRACTIC OF BLACKFOOT
1395 NW MAIN ST
BLACKFOOT, ID83221-3936
Phone: 208-785-0270
Fax: 208-785-0683
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for ADVANCED CHIROPRACTIC OF BLACKFOOT

NPI Number 1720521719
Legal business name
LBN
ADVANCED CHIROPRACTIC OF BLACKFOOT
Authorized official DEE STEVENS - (OWNER OPERATOR)
Entity Organization
Organization subpart No
Enumeration date 11/23/2016
Last updated 11/04/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: CHIA-1502
  • ID Other: ZIR91475 TRADING PARTNER

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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