Organization
NIELSON FAMILY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD JAY NIELSON D.C. (OWNER)
(208) 733-2322
Entity
Organization
Contact information
Practice address
260 FALLS AVE STE B, TWIN FALLS, ID 83301-3370
(208) 733-2322
Mailing address
260 FALLS AVE STE B, TWIN FALLS, ID 83301-3370
(208) 733-2322
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1068
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010147143
BLUE SHIELD OF IDAHO
ID
01
—
C4140
BLUE CROSS OF IDAHO
ID
Enumeration date
01/30/2007
Last updated
02/03/2011
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