Organization
OPTIMAL HEALTH VENTURES LLC DBA BOISE INTEGRATED CHIROPRACTIC
Active
Parent organization
BOISE INTEGRATED CHIROPRACTIC
Other names
Boise Integrated Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOISE INTEGRATED CHIROPRACTIC
Authorized official
DR. NOAH B. EDVALSON DC (OWNER - PHYSICIAN)
(208) 629-5374
Entity
Organization
Contact information
Practice address
3224 N MAPLE GROVE RD, BOISE, ID 83704-4214
(208) 629-5374
Mailing address
3271 N MILWAUKEE ST, BOISE, ID 83704-4425
(208) 629-5374
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1368
ID
Other
Enumeration date
08/03/2018
Last updated
02/07/2020
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