Organization
CHIROPRACTIC HEALTH CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEN LEIGH CHRISTENSEN (BILLING MANAGER)
(208) 321-1500
Entity
Organization
Contact information
Practice address
9161 W BLACK EAGLE DR, BOISE, ID 83709-1572
(208) 321-1500
(208) 321-8687
Mailing address
9161 W BLACK EAGLE DR, BOISE, ID 83709-1572
(208) 321-1500
(208) 321-8687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA590
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010145823
BLUE SHIELD
ID
01
—
C9388
BLUE CROSS ID
ID
01
—
CHIA590
LICENSE NUMBER
ID
Enumeration date
03/16/2007
Last updated
08/22/2020
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