Organization
5 MILE PLAZA CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT R MEISSNER D.C. (OWNER)
(208) 322-0051
Entity
Organization
Contact information
Practice address
10406 OVERLAND RD, BOISE, ID 83709-1433
(208) 322-0051
Mailing address
10406 OVERLAND RD, BOISE, ID 83709-1433
(208) 322-0051
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA4603
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111458
UNITED HEALTHCARE
ID
01
—
T44479
UPIN
ID
Enumeration date
09/01/2009
Last updated
09/01/2009
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