Organization
BUENA VISTA ENTERPRISES, INC.
Active
Other names
Owens Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID V. OWENS D.C. (MANAGER)
(208) 452-4455
Entity
Organization
Contact information
Practice address
2007 N WHITLEY DR, FRUITLAND, ID 83619-2132
(208) 452-4455
(208) 452-3025
Mailing address
2007 N WHITLEY DR, FRUITLAND, ID 83619-2132
(208) 452-4455
(208) 452-3025
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-703
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006845
BLUE SHIELD
ID
01
—
C7036
BLUE CROSS
ID
01
—
T42006
MOST OTHERS
ID
Enumeration date
07/31/2008
Last updated
07/31/2008
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