Organization
ORCHARD CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ALVIN ORCHARD D.C. (PRESIDENT)
(208) 656-8883
Entity
Organization
Contact information
Practice address
160 VALLEY RIVER DR STE 3, REXBURG, ID 83440-5313
(208) 656-8883
(208) 656-8883
Mailing address
PO BOX 456, REXBURG, ID 83440-0456
(208) 656-8883
(208) 656-8883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1002
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010159874
BLUE SHIELD
ID
01
—
C9905
BLUE CROSS
ID
05
—
M8063862
—
ID
Enumeration date
04/13/2012
Last updated
10/10/2012
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