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Contact Information

CRANIOSPINAL INSTITUTE PLLC
2860 CHANNING WAY
STE 114
IDAHO FALLS, ID83404-7531
 Phone: 208-535-4343
 Fax: 208-535-4344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CRANIOSPINAL INSTITUTE PLLC

NPI Number 1851571376
LBN Legal business name CRANIOSPINAL INSTITUTE PLLC
Authorized official SHANE MANGRUM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2007
Last updated 01/04/2008 - About 18 years 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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