Organization
CASEY CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK CASEY DC (PRES)
(208) 378-7700
Entity
Organization
Contact information
Practice address
403 S 11TH ST, SUITE 110, BOISE, ID 83702-6968
(208) 378-7700
(208) 343-0642
Mailing address
403 S 11TH ST, SUITE 110, BOISE, ID 83702-6968
(208) 378-7700
(208) 343-0642
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA929
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00187
BLUE SHIELD
ID
01
—
C1914
BLUE CROSS
ID
Enumeration date
08/30/2006
Last updated
03/14/2008
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