Organization
BOISE VALLEY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H BINGHAM D.C. (MANAGER)
(208) 377-9500
Entity
Organization
Contact information
Practice address
1740 N. MILWAUKEE ST., SUITE B, BOISE, ID 83704
(208) 377-9500
(208) 377-8449
Mailing address
1740 N. MILWAUKEE ST., SUITE B, BOISE, ID 83704
(208) 377-9500
(208) 377-8449
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1060
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010155358
REGENCE BLUE SHEILD OF ID
ID
01
—
C5619
BLUE CROSS OF IDAHO ID
ID
Enumeration date
11/24/2006
Last updated
08/22/2020
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