Organization
FORGIVEN P.A.
Active
Other names
Coulter Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT C COULTER D.C. (DOCTOR)
(208) 367-1497
Entity
Organization
Contact information
Practice address
4619 EMERALD ST, STE.102, BOISE, ID 83706-2051
(208) 367-1497
(208) 385-9190
Mailing address
4619 EMERALD ST, STE.102, BOISE, ID 83706-2051
(208) 367-1497
(208) 385-9190
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIA797
ID
111N00000X
Chiropractor
Primary
CHIA798
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805211700
—
ID
Enumeration date
04/16/2007
Last updated
05/20/2009
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