Organization
BLUE LAKES CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD R ARRINGTON DC (PRESIDENT)
(208) 734-9531
Entity
Organization
Contact information
Practice address
1122 EASTLAND DR N # 2, TWIN FALLS, ID 83301-8444
(208) 734-9531
(208) 733-6969
Mailing address
1122 EASTLAND DR N # 2, TWIN FALLS, ID 83301-8444
(208) 734-9531
(208) 733-6969
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312142
BLUE SHIELD
ID
01
—
C9974
BLUE CROSS
ID
05
—
M8082987
—
ID
Enumeration date
07/12/2006
Last updated
10/07/2010
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