Organization
ALPINE CHIROPRACTIC HEALTH CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA J SOCKETT DC (DOCTOR OF CHIROPRACTIC)
(208) 528-6010
Entity
Organization
Contact information
Practice address
555 1ST STREET, IDAHO FALLS, ID 83404
(208) 528-6010
(208) 528-6011
Mailing address
PO BOX 1861, IDAHO FALLS, ID 83403-1861
(208) 528-6010
(208) 528-6011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA861
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010023767
BLUE SHIELD
ID
01
—
C8612
BLUE CROSS
ID
Enumeration date
09/30/2006
Last updated
08/22/2020
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