Organization
CORBIN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CORBIN D.C. (PRESIDENT)
(208) 733-0411
Entity
Organization
Contact information
Practice address
760 BLUE LAKES BLVD N STE 1, TWIN FALLS, ID 83301-4000
(208) 733-0411
Mailing address
760 BLUE LAKES BLVD N STE 1, TWIN FALLS, ID 83301-4000
(208) 733-0411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-312
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010007108
BLUE SHIELD
ID
Enumeration date
01/18/2008
Last updated
01/18/2008
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