Individual
DR. TODD ALVIN ORCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
160 EAST VALLEY RIVER DR STE 3, REXBURG, ID 83440
(208) 656-8883
(208) 656-8883
Mailing address
PO BOX 456, REXBURG, ID 83440-0456
(208) 656-8883
(208) 656-8883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1002
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010139170
REGENCE BLUE SHIELD OF ID
ID
05
—
806386200
—
ID
01
—
C9905
BLUE CROSS
ID
Enumeration date
10/24/2006
Last updated
04/13/2012
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