Organization
BOULEVARD CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN GIB HEIN D.C. (OWNER)
(208) 899-7323
Entity
Organization
Contact information
Practice address
5216 CLEVELAND BLVD STE G, CALDWELL, ID 83607-8124
(208) 899-7323
(208) 402-5911
Mailing address
5216 CLEVELAND BLVD STE G, CALDWELL, ID 83607-8124
(208) 899-7323
(208) 402-5911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
05/02/2025
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