Individual
DR. NOAH BLUE EDVALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., F.I.A.M.A.
Contact information
Practice address
3224 N MAPLE GROVE RD, BOISE, ID 83704-4214
(208) 629-5374
(208) 629-5394
Mailing address
3224 N MAPLE GROVE RD, BOISE, ID 83704-4214
(208) 629-5374
(208) 629-5394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1368
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808-3540-00
—
ID
Enumeration date
05/13/2009
Last updated
02/07/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us