Organization
BELNAP CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E BELNAP DC (CCEP (PRESIDENT)
(208) 233-3838
Entity
Organization
Contact information
Practice address
521 E HALLIDAY ST, POCATELLO, ID 83201-6563
(208) 233-3838
(208) 478-1552
Mailing address
521 E HALLIDAY ST, POCATELLO, ID 83201-6563
(208) 233-3838
(208) 478-1552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA827
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010025813
REGENCE
ID
01
—
350056584
RAIL ROAD MEDICARE
ID
01
—
C5736
BLUE CROSS OF IDAHO
ID
01
—
C9721
BLUE CROSS OF IDAHO
ID
Enumeration date
08/21/2007
Last updated
01/26/2010
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