Organization
NORTHERN LAKES CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN LEISY DC (CEO)
(208) 265-1900
Entity
Organization
Contact information
Practice address
30544 HIGHWAY 200 STE 330, PONDERAY, ID 83852-5005
(208) 265-1900
(208) 227-8313
Mailing address
30544 HIGHWAY 200 STE 330, PONDERAY, ID 83852-5005
(208) 265-1900
(208) 227-8313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1250
ID
Other
Enumeration date
02/27/2008
Last updated
03/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us