Individual
DR. JUSTIN P BRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
36 N ECHOHAWK LN STE 104B, EAGLE, ID 83616-4013
(208) 968-6700
(208) 563-3938
Mailing address
393 W RIVER TRAIL CT, EAGLE, ID 83616-7124
(408) 410-4808
(208) 563-3938
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
30461
CA
111NR0400X
Rehabilitation Chiropractor
30461
CA
111NR0400X
Rehabilitation Chiropractor
Primary
CHIA-2248
ID
111NS0005X
Sports Physician Chiropractor
30461
CA
Other
Enumeration date
01/30/2007
Last updated
02/18/2025
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