National Provider Identifier Database

MELLOR CHIROPRACTIC CLINIC PA
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.


Contact Information

MELLOR CHIROPRACTIC CLINIC P.A.
54 PROFESSIONAL PLZ
REXBURG, ID83440-2047
Phone: 208-356-6009
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for MELLOR CHIROPRACTIC CLINIC P.A.

NPI Number 1871602987
Legal business name
LBN
MELLOR CHIROPRACTIC CLINIC P.A.
Authorized official STEPHEN MELLOR - (CHIROPRACTIC PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 02/06/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: C343

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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