Individual
DR. SCOTT REGAN MEISSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10159 W OVERLAND RD, BOISE, ID 83709
(208) 322-0051
Mailing address
10159 W. OVERLAND RD, BOISE, ID 83709
(208) 322-0051
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-460
ID
111N00000X
Chiropractor
CHIA460-3
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010007462
REGENCE OF IDAHO
ID
01
—
612716
UNITED HEALTHCARE
ID
01
—
C460-3
BLUE CROSS OF IDAHO
ID
Enumeration date
12/01/2005
Last updated
01/25/2012
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